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Republic of the Philippines

DEPARTMENT OF EDUCATION
Bureau of_________Schools
Division__________
________________________20____
SPECIAL ORDER
(National Municipal Teachers Vacation Service
No____________,s._____________
The vacation service
rendered_______________________________________________
from
_______________________________to_______________________________________________________
is hereby allowed to establish credits as follows:
Vacation Service Credit to
Date:__________________c/d........................__________________w/d
Less:
V/S/D on account of late appoinment:_______________
Days late_______________times .3 divided by 1.3 equals__________________c/d
V/S/D on account of absences for personal reasons:
Dates:_____________________________________
_____________________________________
Days Lost:_____________times .3 divided by 1.3 equals___________________c/d
Total V/S/D-----------------------------------------------------------__________________
Absences on account of illness
Dates_________________________________________________
Total______________________c/d---------------------------------------=__________w/d
Unused vacation credit for future use______________________c/d--------------=_________w/d

_____________________________
School
Division Superintendent
Copy Furnished:

Director, Bureau of Elementary Education


District Supervisor
Teacher Concerned
Division Office File
N.B.: w/d- work days; c/d- calendar days; v/s/d- vacation service due

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