Office of the Presidential Adviser on the Peace Process
APPLICATION FOR LEAVE
1. Office/Agency 2. Name (Last) (First) (Middle)
OPAPP CLEMENTE MARIA JOSELA O.
3. Date of Filing 4. Position 5. Salary/month
9/28/18 AO – II P 19,620.00
DETAILS OF APPLICATION
6. A) TYPE OF LEAVE 6. B) WHERE LEAVE WILL BE SPENT
( ) Vacation i) IN CASE OF VACATION LEAVE
( ) To seek employment ( ) Within the Philippines
( ) Others (specify) ( ) Abroad (specify) ___________________
( ) Sick Leave _______________________________________
( ) Maternity Leave ii) IN CASE OF SICK LEAVE
( ) Special Leave Privileges
( ) In Hospital (specify) ________________
________________________________________
( ) Out Patient (specify) ________________
_______________________________________
6. C) NUMBER OF WORKING DAYS
6. D) COMMUTATION/MONETIZATION
APPLIED FOR 1 DAY ( ) Requested ( ) Not requested
INCLUSIVE DATES OCTOBER 1, 2018
___________________________
Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) CERTIFICATION OF LEAVE CREDITS 7. B) RECOMMENDATION
As of ______________________________ ( ) Approval
( ) Disapproval due to _____________________
VL SL SPL TOTAL ________________________________________
________________________________________
Less this leave: ________________________________________
BALANCE
Certified Correct:
IMELDA C. DRIZA
HRMO
Recommending Approval: ________________________________
BENEDICTA V. GERVACIO
CAO II - FINANCE
ROLANDO V. DE LEON
Chief Administrative Officer II, HRMO
7. C) APPROVED FOR : 7. D) DISAPPROVED DUE TO :
_____________ Days with pay ________________________________________
_____________ Days without pay ________________________________________
_____________ Others (specify)
ATTY. YESHTER DONN P. BACCAY
ASEC, Finance and Administrative Services
Leave Form as of February 2015