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Leave Forms

This document is an application for leave submitted by an employee of the Department of Education in Camarines Sur, Philippines. It includes details of the requested leave such as type (e.g. vacation, sick, maternity), number of days, and inclusive dates. It also provides the applicant's employment information and leave credit balance. At the bottom, it is recommended for approval by the school head and forwarded up the chain of command with a recommendation from the district superintendent.

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Ruffa Sabas Alferez
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227 views2 pages

Leave Forms

This document is an application for leave submitted by an employee of the Department of Education in Camarines Sur, Philippines. It includes details of the requested leave such as type (e.g. vacation, sick, maternity), number of days, and inclusive dates. It also provides the applicant's employment information and leave credit balance. At the bottom, it is recommended for approval by the school head and forwarded up the chain of command with a recommendation from the district superintendent.

Uploaded by

Ruffa Sabas Alferez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Department of Education

Region V
DIVISION OF CAMARINES SUR
Freedom Sports Complex, San Jose, Camarines Sur

APPLICATION FOR LEAVE


CSC Form No.6

1. OFFICE/AGENCY 2. NAME (LAST) (FIRST) (MIDDLE)


DepEdCamarines Sur
3. DATE OF FILING 4. POSITION 5. SALARY (MONTHLY)

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
Sick Leave Abroad (specify) ____________________
Maternity Leave/Abortion
(2) In case of of Sick Leave
Others (specify) __________________ Name of Hospital _____________________
Out Patient (specify) __________________

6. c.) NUMBER OF WORKING DAYS 6. d.) COMMUTATION

APPLIED FOR: _________________ Requested


Not Requested
INCLUSIVE DATES:____________________

____________________________
Signature of Applicant

DETAILS OF ACTION ON APPLICATION


7. a.) CERTIFICATION OF LEAVE CREDITS 7. b.) RECOMMENDATION
as of ________________________________
Approved
Vacatio Sick Total COC SPL Disapproved due to: ___________________
n

LESS: This leave

Balance:

______________________
MARIA DIVINA H. CALLEJA School Head
Personnel Section

7. c.) APPROVED FOR: 7. d.) DISAPPROVED DUE TO:


__________ days with pay
__________ days without pay __________________________________________
__________ others (specify)
__________________________________________
__________________________________________
Department of Education
Region V
Division of Camarines Sur
CARAMOAN NORTH DISTRICT

___________
Date
The Schools Division Superintendent
Division of Camarines Sur
San Jose, Pili, Camarines
(Thru Channels)

Sir:

I have the honor to apply for ( ) day/s ( ) sick, ( ) maternity, ( ) vacation, ( ) force leave of
absence on ____________________.

My data of information are as follows:


1. Station Assignment: _______________________
2. Employee No. _____________
3. First Day of Service during the year: _____________
4. Absence/s if any prior to the leave: ______________________
5. Salary per month: PhP. __________
6. Status (Permanent) Regular/Permanent Since When? _____________

It is highly requested that this leave of absence ( ) without pay, () with pay, be offset by my service credits
as follows:

_______________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

(use separate sheet if necessary)

Very truly yours,

RECOMMENDING APPROVAL:

Signature Over Printed Name

School Head

Position

Position

Enclosure: CS Form 6
Pertinent documents for leave
1st Indorsement
CARAMOAN NORTH DISTRICT
Caramoan, Camarines Sur
_______________

Respectfully forwarded to the Schools Division Superintendent for Camarines Sur, recommending
approval of the request of ________________________of_____________________School, this District for
leave of absence indicated above effective ________________to ______________, inclusive.

ELEANOR S. BELLO
PSDS

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