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CSC Form 6 Leave Form-New

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noriel lumaban
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11 views

CSC Form 6 Leave Form-New

Uploaded by

noriel lumaban
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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CSC Form 6

Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency 2. Name (Last) (First) (Middle)
DepEd Reina Mercedes TAGANAS NORIEL CATALOGO
3. Date of Filing 4. Position 5. Salary
SEPTEMBER 5, 2022 TEACHER II
DETAILS OF APPLICATION
6. A) Type of Leave 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 2. In case of Sick Leave


Maternity In hospital (Specify)
FORCE LEAVE RHU Reina Mercedes Isabela
Dr. Susan Tan Private Clinic

6. C) Number of Working Days applied for: 4 6. D) Commutation


SEPTEMBER 5, 2022 Requested Not Requested
Inclusive Dates

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of

Vacation Sick Total Approval


Disapproval due to
days days days

Authorized Official Authorized Official


7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay
ELISO D. VEA, Principal II
Date: _________________ Authorized Official

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