Republic of the Philippines

Cordillera Administrative Region

PROVINCE OF KALINGA
Capitol Hills, Bulanao, Tabuk City
PROVINCIAL GOVERNMENT OF KALINGA

APPLICATION FOR LEAVE

1. Office/Agency 2. Name (Last) (First) (Middle)
Office of the Prov'l Coop Dev't Officer (OPCDO) BALISANG CHARLOTTE SAGUIBO
3. Date of Filing 4. Position Supervising CDS 5. Salary 64,360.00
DETAILS OF APPLICATION
6. A) TYPE OF LEAVE TO BE AVAILED OF 6. B) Where Leave will be spent
Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing EO No. 292) In case of Vacation/Special Privilege Leave
Mandatory/Forced Leave (Sec. 25, Rule XVI, Omnibus Rules Implementing EO No. 292) Within the Philippines
Sick Leave ((Sec. 43, Rule XVI, Omnibus Rules Implementing EO No. 292) Abroad (Specify)
Maternity Leave (RA No. 1110/IRR issued by CSC, DOLE and SSS) In case of Sick Leave
Paternity Leave (RA No. 8187/CSC MC No. 7, s. 1998, as amended In hospital (Specify illness)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing EO No. 292) Out Patient (Specify illness) Influenza
Solo Parent Leave (RA No. 8972/CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women
Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing EO No. 292) Specify Illness
10-day VAWC Leave (RA No. 9262/CSC MC No. 15, s. 2005) In case of Study Leave
Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing EO No. 292) Completion of Master's Degree
Special Leave Benefits for Women (RA No. 9710/CSC MC No. 25, s.2010) Bar/Board Examination Review, Others
Special/Emergency (Calamity) Leave (CSC MC No. 2, s. 2012 as amended) Purpose:
Adoption Leave (RA No. 8552) √ Monetization of Leave Credits
√ Others: Monetization Terminal Leave

6. C) Number of Working Days applied for 6. D) Commutation

Ten (10) days √ Requested
Not Requested
Inclusive Dates

(Signature of Applicant/Employee)
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. Recommendation
as of
Vacation Sick Others: (specify) Approved
Total Earned Disapproved due to
Less this Application
Balance
Controlled by:

PHRMO employee incharge of Leave Ledger

CERTIFIED CORRECT:

LEONIDA M. MANODON ARLENE B. OYANDO

Supervising Administrative Officer Provincial Cooperatives Officer
7. C) Approved for: 7. D) Disapproved due to:
day/s with pay
day/s without pay
others (specify)

GRACE M. KIDANG-FLORES, MPA

Provincial Human Resource Management Officer
 Republic of the Philippines
Cordillera Administrative Region
PROVINCE OF KALINGA
Capitol Hills, Bulanao, Tabuk City
PROVINCIAL GOVERNMENT OF KALINGA

APPLICATION FOR LEAVE

1. Office/Agency 2. Name (Last) (First) (Middle)
Office of the Prov'l Coop Dev't Officer (OPCDO) Dasayon Kryzziza Camille Mangulad
3. Date of Filing April 03,2024 4. Position CDS I 5. Salary 24,566.00
DETAILS OF APPLICATION
6. A) TYPE OF LEAVE TO BE AVAILED OF 6. B) Where Leave will be spent
Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing EO No. 292) In case of Vacation/Special Privilege Leave
Mandatory/Forced Leave (Sec. 25, Rule XVI, Omnibus Rules Implementing EO No. 292) Within the Philippines
Sick Leave ((Sec. 43, Rule XVI, Omnibus Rules Implementing EO No. 292) Abroad (Specify)
Maternity Leave (RA No. 1110/IRR issued by CSC, DOLE and SSS) In case of Sick Leave
Paternity Leave (RA No. 8187/CSC MC No. 7, s. 1998, as amended In hospital (Specify illness)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing EO No. 292) Out Patient (Specify illness)
Solo Parent Leave (RA No. 8972/CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women
Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing EO No. 292) Specify Illness
10-day VAWC Leave (RA No. 9262/CSC MC No. 15, s. 2005) In case of Study Leave
Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing EO No. 292) Completion of Master's Degree
Special Leave Benefits for Women (RA No. 9710/CSC MC No. 25, s.2010) Bar/Board Examination Review, Others
Special/Emergency (Calamity) Leave (CSC MC No. 2, s. 2012 as amended) Purpose:
Adoption Leave (RA No. 8552) Monetization of Leave Credits
√ Others: CTO Terminal Leave

6. C) Number of Working Days applied for 6. D) Commutation

One (1) day √ Requested
Not Requested
Inclusive Dates
4/5/2024
(Signature of Applicant/Employee)
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. Recommendation
as of
Vacation Sick Others: (specify) Approved
Total Earned Disapproved due to
Less this Application
Balance
Controlled by:

PHRMO employee incharge of Leave Ledger

CERTIFIED CORRECT:

LEONIDA M. MANODON ARLENE B. OYANDO

Supervising Administrative Officer Provincial Cooperatives Officer
7. C) Approved for: 7. D) Disapproved due to:
day/s with pay
day/s without pay
others (specify)

GRACE M. KIDANG-FLORES, MPA

Provincial Human Resource Management Officer
 Republic of the Philippines
Cordillera Administrative Region
PROVINCE OF KALINGA
Capitol Hills, Bulanao, Tabuk City
PROVINCIAL GOVERNMENT OF KALINGA

APPLICATION FOR LEAVE

1. Office/Agency 2. Name (Last) (First) (Middle)
Office of the Prov'l Coop Dev't Officer (OPCDO) MANGALIMAN XARMAY LYNE GUISOB
3. Date of Filing 5/20/2024 4. Position CDS II 5. Salary 32,957.00

6. A) TYPE OF LEAVE TO BE AVAILED OF 6. B) Where Leave will be spent

/ Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing EO No. 292) In case of Vacation/Special Privilege Leave
Mandatory/Forced Leave (Sec. 25, Rule XVI, Omnibus Rules Implementing EO No. 292) √ Within the Philippines Kalinga

Sick Leave ((Sec. 43, Rule XVI, Omnibus Rules Implementing EO No. 292) Abroad (Specify)
Maternity Leave (RA No. 1110/IRR issued by CSC, DOLE and SSS) In case of Sick Leave
Paternity Leave (RA No. 8187/CSC MC No. 7, s. 1998, as amended In hospital (Specify illness)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing EO No. 292) Out Patient (Specify illness) Influenza
Solo Parent Leave (RA No. 8972/CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women
Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing EO No. 292) Specify Illness
10-day VAWC Leave (RA No. 9262/CSC MC No. 15, s. 2005) In case of Study Leave
Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing EO No. 292) Completion of Master's Degree
Special Leave Benefits for Women (RA No. 9710/CSC MC No. 25, s.2010) Bar/Board Examination Review, Others
Special/Emergency (Calamity) Leave (CSC MC No. 2, s. 2012 as amended) Purpose: To baby sit
Adoption Leave (RA No. 8552) Monetization of Leave Credits
Others: Terminal Leave

6. C) Number of Working Days applied for 6. D) Commutation

Six (6) days √ Requested
Not Requested
Inclusive Dates
May 24, 27, 28, 29, 30 & 31, 2024
(Signature of Applicant/Employee)
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. Recommendation
as of
Vacation Sick Others: (specify) Approved
Total Earned Disapproved due to
Less this Application
Balance
Controlled by:

PHRMO employee incharge of Leave Ledger

CERTIFIED CORRECT:

LEONIDA M. MANODON ARLENE B. OYANDO

Supervising Administrative Officer Provincial Cooperatives Officer
7. C) Approved for: 7. D) Disapproved due to:
day/s with pay
day/s without pay
others (specify)
 GRACE M. KIDANG-FLORES, MPA
Provincial Human Resource Management Officer
 Republic of the Philippines
Cordillera Administrative Region
PROVINCE OF KALINGA
Capitol Hills, Bulanao, Tabuk City
PROVINCIAL GOVERNMENT OF KALINGA

APPLICATION FOR LEAVE

1. Office/Agency 2. Name (Last) (First) (Middle)
Office of the Prov'l Coop Dev't Officer (OPCDO) Oyando Arlene Buen
3. Date of Filing 4. Position PCO 5. Salary
DETAILS OF APPLICATION
6. A) TYPE OF LEAVE TO BE AVAILED OF 6. B) Where Leave will be spent
√ Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing EO No. 292) In case of Vacation/Special Privilege Leave
Mandatory/Forced Leave (Sec. 25, Rule XVI, Omnibus Rules Implementing EO No. 292) Within the Philippines
Sick Leave ((Sec. 43, Rule XVI, Omnibus Rules Implementing EO No. 292) Abroad (Specify)
Maternity Leave (RA No. 1110/IRR issued by CSC, DOLE and SSS) In case of Sick Leave
Paternity Leave (RA No. 8187/CSC MC No. 7, s. 1998, as amended In hospital (Specify illness)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing EO No. 292) Out Patient (Specify illness)
Solo Parent Leave (RA No. 8972/CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women
Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing EO No. 292) Specify Illness
10-day VAWC Leave (RA No. 9262/CSC MC No. 15, s. 2005) In case of Study Leave
Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing EO No. 292) Completion of Master's Degree
Special Leave Benefits for Women (RA No. 9710/CSC MC No. 25, s.2010) Bar/Board Examination Review, Others
Special/Emergency (Calamity) Leave (CSC MC No. 2, s. 2012 as amended) Purpose:
Adoption Leave (RA No. 8552) √ Monetization of Leave Credits
√ Others: Terminal Leave

6. C) Number of Working Days applied for 6. D) Commutation

five (5) days Requested
Not Requested
Inclusive Dates

(Signature of Applicant/Employee)
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. Recommendation
as of
Vacation Sick Others: (specify) Approved
Total Earned Disapproved due to
Less this Application
Balance
Controlled by:

PHRMO employee incharge of Leave Ledger

CERTIFIED CORRECT:

GRACE M. KIDANG-FLORES, MPA TEDDY GULLAY

Provincial Human Resource Management Officer Provincial Administrator
7. C) Approved for: 7. D) Disapproved due to:
day/s with pay
day/s without pay
others (specify)

JAMES S. EDDUBA
Provincial Governor