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    This document is an application for leave of absence from the House of Representatives of the Philippines. It contains instructions for completing the form in duplicate, including filling out all blanks and obtaining necessary signatures. The applicant must provide their name, position, number of days requested, dates, reason for leave, and type of leave being applied for such as sick, vacation, maternity, or legislative leave. Supervisor and director level approvals are required, as well as approval by the Secretary General for leaves of 30 days or more or terminal leave. Leave balances are tracked for various leave types.

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    This document is an application for leave of absence from the House of Representatives of the Philippines. It contains instructions for completing the form in duplicate, including filling out all blanks and obtaining necessary signatures. The applicant must provide their name, position, number of days requested, dates, reason for leave, and type of leave being applied for such as sick, vacation, maternity, or legislative leave. Supervisor and director level approvals are required, as well as approval by the Secretary General for leaves of 30 days or more or terminal leave. Leave balances are tracked for various leave types.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    19 views1 page

    Leave Form

    Uploaded by

    mean7645
    This document is an application for leave of absence from the House of Representatives of the Philippines. It contains instructions for completing the form in duplicate, including filling out all blanks and obtaining necessary signatures. The applicant must provide their name, position, number of days requested, dates, reason for leave, and type of leave being applied for such as sick, vacation, maternity, or legislative leave. Supervisor and director level approvals are required, as well as approval by the Secretary General for leaves of 30 days or more or terminal leave. Leave balances are tracked for various leave types.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    Congress of the Republic of the Philippines HOUSE OF REPRESENTATIVES Constitution Hills, Quezon City

    INSTRUCTIONS: 1. To be accomplished in two (2) copies. 2. Fill-up all blanks properly. 3. Submit to the signatories in the order of their priority. 4. One (1) duly approved copy must be submitted to the AMDS/PTG, HRMS to form part of leave form. EMPLOYEE NO. DATE RECEIVED BY HRMS

    APPLICATION FOR LEAVE OF ABSENCE


    NAME (Last) (First) (M.I.) POSITION SALARY NO. OF DAYS APPLIED FOR

    DATE OF FILINGF

    SERVICE/OFFICE

    MRS/PRIB
    INCLUSIVE PERIOD SPECIFIC REASON FOR LEAVE/ABSENCE

    CHARGEABLE AGAINST SICK LEAVE VACATION/FORCED LEAVE MATERNITY LEAVE PATERNITY LEAVE (1 , 2 , 3 , 4 )
    st nd rd th

    WHERE TO SPEND SPECIAL LEAVE LEGISLATIVE LEAVE COMPENSATORY DAY-OFF REHABILITATION LEAVE AVAWC LEAVE PAY/OTHERS __________ WITHIN THE PHILIPPINES ABROAD

    PARENTAL LEAVE

    ATTACHMENT(S) IF ANY
    COMMUTATION REQUESTED NOT REQUESTED

    ________________________
    SIGNATURE (Applicant)

    ACTION TAKEN BY APPROPRIATE LEVEL


    RECOMMENDING APPROVAL RECOMMENDING DISAPPROVAL RECOMMENDING APPROVAL RECOMMENDING DISAPPROVAL APPROVED DISAPPROVED In case of disapproval, reason: __________________________

    MA. BERNADETTE C. DELA CUESTA IMMEDIATE SUPERVISOR/CHIEF DR. CELINE MARIE F. BUENCAMINO DIR. MEDIA RELATIONS SERVICE

    Executive Director, PRIB


    APPROVING AUTHORITY

    ACTION TAKEN BY THE SECRETARY GENERAL


    COMMUTATION LEAVE OF ABSENCE FOR 30 DAYS OR MORE WITH OR WITHOUT PAY (Except Maternity Leave) ACCOMPANIED BY A DULY ACCOMPLISHED ACCOUNTABILITY CLEARANCE TERMINAL LEAVE ACTION TAKEN BY THE PERSONNEL TRANSACTIONS GROUP, HRMS LEAVE CREDITS AS OF SICK LEAVE VACATION/FORCED LEAVE LEGISLATIVE LEAVE MATERNITY LEAVE SPECIAL LEAVE PATERNITY/PARENTAL LEAVE COMPENSATORY TIME-OFF REHABILITATION LEAVE AVAWC LEAVE _____________________ __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS LEAVE CREDITS/COC BALANCE AFTER THIS LEAVE __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS __________ DAYS WITH PAY WITHOUT PAY APPROVED DISAPPROVED

    ATTY. MARILYN B. BARUA-YAP Secretary General

    CERTIFIED BY

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