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The document is an application for leave submitted by a Public Attorney II named Sir Achilles Avendaño. He is requesting 22 days of leave, including 18 days of vacation leave and 4 days of sick leave. The application provides details on the type of leave requested and the inclusive dates. It includes certifications of leave credits and recommendations for approval from the District Public Attorney.

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SirAchilles Pilar
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47 views

New AFL Form

The document is an application for leave submitted by a Public Attorney II named Sir Achilles Avendaño. He is requesting 22 days of leave, including 18 days of vacation leave and 4 days of sick leave. The application provides details on the type of leave requested and the inclusive dates. It includes certifications of leave credits and recommendations for approval from the District Public Attorney.

Uploaded by

SirAchilles Pilar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLS, PDF, TXT or read online on Scribd
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PUBLIC ATTORNEY’S OFFICE

CS Form No. 6
APPLICATION FOR LEAVE Revised 1984

1. OFFICE/DEPT./DIVISION 2. NAME LAST , FIRST MIDDLE

Talavera District Office PILAR SIR ACHILLES AVENDAÑO


3. DATE OF FILING 4. POSITION 5. SALARY
July 1, 2020 Public Attorney II
6. DETAILS OF APPLICATION
6.a. TYPE OF LEAVE: REQUEST FOR MONETIZATION 6.b. WHERE LEAVE WILL BE SPENT:
VACATION 1. In case of vacation leave
To seek employment Within the Philippines
OTHERS (specify) Abroad (specify) _______

SICK
MATERNITY 2. In case of sick leave
OTHERS Pursuant to Sec. 23 (a), (b), (e) & In Hospital (specify) ______
(f) of CSC Memo Circular No. 16, ________________________
Series of 2002 (24 June 2002) Out-Patient (specify) ______
in relation to DBM Circular Letter _________________________
No. 2019-11 (25 July 2019)
d. COMMUTATION:
c. NUMBER OF WORKING DAYS APPLIED FOR: √ Requested
Twenty-two (22) days Not Requested

INCLUSIVE DATES:
Eighteen (18) days Vacation Leave (VL) and ATTY. SIR ACHILLES A. PILAR
Four (4) days Sick Leave (SL) Signature of Applicant

7. DETAILS OF ACTION ON APPLICATION


7.a. CERTIFICATION OF LEAVE CREDITS: b. RECOMMENDATION:
AS OF ___________________ Approval
Disapproval due to
________________________
VACATION SICK TOTAL _________________________

Days Days Days

ATTY. EDWARD ROBINSON P. SERRANO


______________________________ District Public Attorney
Personnel Officer Authorized Official

c. APPROVED FOR: d. DISAPPROVED DUE TO:


_________ Days with pay _____________________________
_________ Days without pay _____________________________
_________ Others (specify) _____________________________

SIGNATURE

AUTHORIZED OFFICIAL
DATE: ____________________________
INSTRUCTIONS:
1. Application for vacation or sick leave for one full day
or more shall be made on this Form and to be
accomplished at least in duplicate.

2. Application for vacation leave shall be filed in


advance, or whenever possible five (5) days
before going on such leave.

3. Application for sick leave files in advance, or


exceeding five (5) days shall be accompanied
by a medical certificate. In case medical consultation
was not availed of, an affidavit should be executed
by the applicant.

4. An employee who is absent without approved leave


shall not be entitled to receive his salary
corresponding to the period of his unauthorized
leave of absence.

5. An application for leave of absence for thirty (30)


calendar days or more shall be accompanied by a
clearance from money and property accountabilities.

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