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Deped Bataan Leave Application 43369

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92 views2 pages

Deped Bataan Leave Application 43369

Uploaded by

angielyn.manlapid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Civil Service Form No.

6 ANNEX A
Revised 2020
Republic of the Philippines
Department of Education Stamp of Date of Receipt
REGION III
SCHOOLS DIVISION OFFICE OF BATAAN

APPLICATION FOR LEAVE


1. Office/Department 2. Name (Last) (First) (Middle)
Sta. Rosa ES VENTURA ANGIELYN MANLAPID
3. Date of Filing December 27, 2023 4. Position Teacher I 5. Salary PHP 27,284.00

6. DETAILS OF APPLICATIONS

6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE


Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules In case of Vacation/Special Privilege Leave:
▢ Implementing E.O. No. 292)
Mandatory/Forced Leave (Sec. 25, Rule XVI, Omnibus Rules ▢ Within the Philippines
▢ Implementing E.O. No. 292) ▢ Abroad
Sick Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing
▢ E.O. No. 292) In case of Sick Leave:
Maternity Leave (R.A. No. 11210 / IRR issued by CSC, DOLE
✓ and SSS) ▢ In Hospital

▢ Paternity Leave (R.A. No. 8187 / CSC MC No. 71, s. 1998, as ▢ Out Patient
amended)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules In case of Special Leave Benefits for Women:
▢ Implementing E.O. No. 292)
(Specify Illness) ______________________
▢ Solo Parent Leave (RA No. 8972 / CSC MC No. 8, s. 2004)
Study Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing In case of Study Leave:
▢ E.O. No. 292)
10-Day VAWC Leave (RA No. 9262 / CSC MC No. 15, s. ▢ Completion of Master's Degree
▢ 2005) ▢ BAR/Board Examination Review
Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules
▢ Implementing E.O. No. 292) Other purpose:
Special Leave Benefits for Women (RA No. 9710 / CSC MC
▢ No. 25, s. 2010) ▢ Monetization of Leave Credits

▢ Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, ▢ Terminal Leave


as amended)
▢ Adoption Leave (R.A. No. 8552)

Others: ______________________

6.C NUMBER OF WORKING DAYS APPLIED FOR: 6.D COMMUTATION


105 Day(s)
✓ Not Requested
INCLUSIVE DATES:
▢ Requested
December 22, 2023 - April 04, 2024

Angielyn M. Ventura
Name and Signature of Applicant

7. DETAILS OF ACTION ON APPLICATION

7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION


As of: December 27, 2023 ✓ For Approval
Leave Type Vacation Sick ▢ For Disapproval due to
Total Earned 0 0
Less this application 0 0
Janette B. Afable
Balance 0 0 Principal I

William Roderick R. Fallorin


Human Resource Officer

7.C APPROVED FOR: 7.D DISAPPROVED DUE TO:


105 days with pay
0 days without pay
others (specify)

Carolina S. Violeta, EdD, CESO V


Schools Division Superintendent
Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF BATAAN

SPECIAL ORDER December 29, 2023


No. 0273 S. 2024

COMPUTATION OF MATERNITY LEAVE


(R.A. No. 11210 / IRR issued by CSC, DOLE and SSS)

Name: ANGIELYN M. VENTURA

Station: Pilar Elementary / Sta. Rosa ES

Service rendered: August 29, 2023 to December 21, 2023

Absences: None

Experience as Permanent: 5-years & 6-months Experienced since: June 11, 2018

Monthly Salary: PHP 27,284.00

105 day(s) (105 day/s with pay & 0 day/s without pay) Maternity Leave (R.A. No. 11210 / IRR issued by CSC, DOLE
and SSS) of absences with pay from December 22, 2023 - April 04, 2024 inclusive.

By Authority of the Secretary of Education:

Carolina S. Violeta, EdD, CESO V


Schools Division Superintendent

Copy furnished:
RPSU
District Supervisor/Principal Concerned
Teacher Concerned

AD31

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