Professional Documents
Culture Documents
CC Form No. 6
Revised 1994
1. OFFICE/AGENCY
2. NAME
(Last)
3. DATE OF FILLING
(First)
(Middle)
(QLFR)
( Badge Nr)
5. SALARY
) SICK
) MATERNITY
) Others (Specify)
________ _____________
d. COMMUTATION
_________________________
(
(
) Requested
) Not Requested
Sick
Total
______________________________
Admin PNCO
9a. APPROVED FOR:
_____________ Days with pay
_____________ Days without pay
_____________ Others (Specify)
b. RECOMMENDATION
(
(
) Approval
) Disapproved due to:
____________________________________
__________________________________
(Authorized Official)
b. DISAPPROVED DUE TO:
_____________________
_____________________
_____________________
________________________________
FERNANDO H MENDEZ, JR
Police Senior Superintendent (DSC)
Provincial Director, BULPPO
Date:___________________