C.S. Form No.
6
Revised 1984
                                                        APPLICATION FOR LEAVE
1. OFFICE/AGENCY                                       2. NAME (Last)          (First)    (Middle)               EMPLOYEE NO.
      Team 26-CITY OF CABANATUAN                            GARCIA,            MA. JOSERET JANE        JAVATE             0259594
3. DATE OF FILING                                      4. POSITION                                5. SALARY
                      January 24, 2019                                   SA II                                  P42,099.00
                                                        DETAILS OF APPLICATION
6. a) TYPE OF LEAVE                                            (6.b.) WHERE LEAVE WILL BE SPENT:
         ( X ) Vacation                                             (b.1.) IN CASE OF VACATION LEAVE
                ( To seek employment                                       ( ) Within the Philippines
                ( XOthers (Specify) Forced Leave                           ( X ) Abroad (Specify)                South Korea
            (     ) Sick                                              (b.2.) IN CASE OF SICK LEAVE
            (     ) Maternity                                                ( ) In Hospital (Specify)
            (     ) Others (Specify)
                                                                           (      ) Out Patient (Specify)
(6.c.) NUMBER OF WORKING DAYS APPLIED                                 (6.d.) COMMUTATION
      FOR       Three (3) day/s                                              ( ) Requested
      INCLUSIVE DATES                                                        ( ) Not Requested
                April 24-28, 2019
                                                                                           MA. JOSERET JANE J. GARCIA
                                                                                                (Signature of Applicant)
                                                   DETAILS OF ACTION ON APPLICATION
(7.a.) CERTIFICATION OF LEAVE CREDITS                          (7.b.) RECOMMENDATION
       AS OF __________________________                           (       ) Approval
                                                                  (       )
            Vacation       Sick            Total
                Days       Days            Days                                                    DANILO E. YACAT
                                                                                            State Auditor IV/Audit Team Leader
                                                                                                      (SIGNATURE)
                         (Personnel Officer)
(7.c.) APPROVED FOR:                                           (7.d.) DISAPPROVED DUE TO:
                  3     days with pay
                        days without pay
                        Others (Specify)
                                                        EMMA R. INOS-TALENS
                                                       State Auditor V/Supervising Auditor
                                               ____________________________________________
                                                               (SIGNATURE)
                                                          (AUTHORIZED OFFICIAL)