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APPLICATION FOR LEAVE

CSC FORM NO. 8


Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
April 6, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (1) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ________
[ ] Maternity _________________________ (2) IN CASE OF SICK LEAVE
[ x ] Others (specify) COC
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify) ___
o NUMBER OF WORKING DAYS APPLIED FOR _______________________________
One (1) day (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: April 11, 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
April 19, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (3) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ________
[ ] Maternity _________________________ (4) IN CASE OF SICK LEAVE
[ x ] Others (specify) Sick Leave
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify) flu with muscles pain
o NUMBER OF WORKING DAYS APPLIED FOR (d) COMMUTATION
One (1) day [ ] Request [ ] Not Requested

INCLUSIVE DATES: April 18, 2016


Signature of Applicant

DETAILS OF ACTION ON APPLICATION


CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
April 21, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (5) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ________
[ ] Maternity _________________________ (6) IN CASE OF SICK LEAVE
[ x ] Others (specify) Emergency Leave
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify__________________
o NUMBER OF WORKING DAYS APPLIED FOR (d) COMMUTATION
One (1) day [ ] Request [ ] Not Requested

INCLUSIVE DATES: April 20, 2016


Signature of Applicant

DETAILS OF ACTION ON APPLICATION


CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
April 21, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (7) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[x] Sick ________
[ ] Maternity _________________________ (8) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify) Asthma attack
o NUMBER OF WORKING DAYS APPLIED FOR
two (2) days (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: April 19-,20,, 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
April 28,, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (9) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[x] Sick ________
[ ] Maternity _________________________ (10) IN CASE OF SICK LEAVE
[ ] Others (specify) __C t O____
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify) Asthma attack
o NUMBER OF WORKING DAYS APPLIED FOR
one (1) day (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: May 1,, 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
May 4, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (11) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[x] Sick ________
[ ] Maternity _________________________ (12) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify) diarrhea (food poison
o NUMBER OF WORKING DAYS APPLIED FOR tahong)
one (1) day
(d) COMMUTATION
INCLUSIVE DATES: May 3, 2016 [ ] Request [ ] Not Requested

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
May 10, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (13) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[x] Sick ________
[ ] Maternity _________________________ (14) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify LBM
o NUMBER OF WORKING DAYS APPLIED FOR
two (2) days (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: May 5-6, 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
May 20, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (15) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) Special leave [ ] Within the Philippines
[ ] Abroad (specify) ________________
[x] Sick ________
[ ] Maternity _________________________ (16) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify____________
o NUMBER OF WORKING DAYS APPLIED FOR
three (3) days (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: May 24-26 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
May 20, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (17) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[x] Sick ________
[ ] Maternity _________________________ (18) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify ) Sore Knee with pain
o NUMBER OF WORKING DAYS APPLIED FOR
one (1) day (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: May 19 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
July 14 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (19) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[x] Sick ________
[ ] Maternity _________________________ (20) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify ) severe pain lower
o NUMBER OF WORKING DAYS APPLIED FOR extremeties
two (2) days
(d) COMMUTATION
INCLUSIVE DATES: July 12,13 2016 [ ] Request [ ] Not Requested

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
August 16, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (21) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) _Emergency leave [ ] Within the Philippines
(domestic emergencies) [ ] Abroad (specify) ________________

[ ] Sick ________ (22) IN CASE OF SICK LEAVE


[ ] Maternity _________________________
[ ] Others (specify) ______ [ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify )

o NUMBER OF WORKING DAYS APPLIED FOR (d) COMMUTATION


one (1) day [ ] Request [ ] Not Requested

INCLUSIVE DATES: August 16, 2016


Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
November 4 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (23) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) _Emergency leave [ ] Within the Philippines
(domestic emergencies) [ ] Abroad (specify) ________________

[ ] Sick ________ (24) IN CASE OF SICK LEAVE


[ ] Maternity _________________________
[ ] Others (specify) ______ [ ] In Hospitals (Specify) __________
[x ] Out Patient (Specify )

o NUMBER OF WORKING DAYS APPLIED FOR (d) COMMUTATION


one (1) day [ ] Request [ ] Not Requested

INCLUSIVE DATES: November 3, 2016


Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
November 8, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (25) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) _____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ____________________________
[ ] Maternity _________________________ (26) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) _swollen
o NUMBER OF WORKING DAYS APPLIED FOR shoulder_________________
one (1) day
(d) COMMUTATION
INCLUSIVE DATES: August 16, 2016 [ ] Request [ ] Not Requested

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
November 17 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (27) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) _____________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ____________________________
[ ] Maternity _________________________ (28) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) _ankle sprain
o NUMBER OF WORKING DAYS APPLIED FOR
one (1) day (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: November 16, 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
November 28 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (29) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ___C.T.O.__________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ____________________________
[ ] Maternity _________________________ (30) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) __________________
o NUMBER OF WORKING DAYS APPLIED FOR
Two (2) days (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: December 5, 6, 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
December 9 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (31) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ___C.T.O.__________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ____________________________
[ ] Maternity _________________________ (32) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) __________________
o NUMBER OF WORKING DAYS APPLIED FOR
(1) day (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: December 14, 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
November 28 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (33) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ___C.T.O.__________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ____________________________
[ ] Maternity _________________________ (34) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) __________________
o NUMBER OF WORKING DAYS APPLIED FOR
Two (2) days (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: December 5, 6, 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
December 9 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (35) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) ___C.T.O.__________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ____________________________
[ ] Maternity _________________________ (36) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) __________________
o NUMBER OF WORKING DAYS APPLIED FOR
One (1) day (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: December 14, 2016

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
December 22, 2016 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (37) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) __________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ x ] Sick ____________________________
[ ] Maternity _________________________ (38) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) _Flu with severe dry
o NUMBER OF WORKING DAYS APPLIED FOR cough_
one (1) day
(d) COMMUTATION
INCLUSIVE DATES: December 21 2016 [ ] Request [ ] Not Requested

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
February 6, 2017 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (39) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) __________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ x ] Sick ____________________________
[ ] Maternity _________________________ (40) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) _Flu with dry cough_
o NUMBER OF WORKING DAYS APPLIED FOR
one (1) day (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: February 3, 2017

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
February 7, 2017 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (41) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) Emergency leave [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ____________________________
[ ] Maternity _________________________ (42) IN CASE OF SICK LEAVE
[ ] Others (specify) ______
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) __________________
o NUMBER OF WORKING DAYS APPLIED FOR (d) COMMUTATION
one (1) day [ ] Request [ ] Not Requested

INCLUSIVE DATES: February 6, 2016


Signature of Applicant

DETAILS OF ACTION ON APPLICATION


CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
February 28, 2017 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (43) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) __Emergency [ ] Within the Philippines
leave________________ [ ] Abroad (specify) ________________

[ ] Sick ____________________________ (44) IN CASE OF SICK LEAVE


[ ] Maternity _________________________
[ ] Others (specify) ______ [ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) __________________

o NUMBER OF WORKING DAYS APPLIED FOR (d) COMMUTATION


one (1) day [ ] Request [ ] Not Requested

INCLUSIVE DATES: February 27, 2017


Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
Feb 13, 2017 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (45) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) __________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ____________________________
[ ] Maternity _________________________ (46) IN CASE OF SICK LEAVE
[ ] Others (specify) _CTO____
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) _
o NUMBER OF WORKING DAYS APPLIED FOR
one (1) day (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: Feb 17 2017

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date:
APPLICATION FOR LEAVE
CSC FORM NO. 8
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
NATIONAL LIBRARY OF THE PHILIPPINES LUNA ALONA B.
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
March 8, 2017 Librarian II
DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT:

[ ] Vacation __________ (47) IN CASE OF VACATION LEAVE


[ ] To seek employment ________________
[ ] Others (specify) __________________ [ ] Within the Philippines
[ ] Abroad (specify) ________________
[ ] Sick ____________________________
[ ] Maternity _________________________ (48) IN CASE OF SICK LEAVE
[ ] Others (specify) ___________________
[ ] In Hospitals (Specify) __________________
[x ] Out Patient (Specify ) Severe headache
o NUMBER OF WORKING DAYS APPLIED FOR
one day (d) COMMUTATION
[ ] Request [ ] Not Requested
INCLUSIVE DATES: March 7, 2017

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION

As of _____________________________________ [ ] Approval
____________________________________ [ ] Disapproval due to __________________
Vacation Sick Total ___________________________________
____________________________________

Days Sick Days


TERESITA A. PIMENTEL
_______________________________ Chief, Collection Development Division
PERSONNEL OFFICER (Authorized Official)

APPROVED BY: 8. (d) DISAPPROVED DUE TO:


_____________ Days with pay ______________________________________
_____________ Days without pay ______________________________________
_____________ Others (Specify)

________________________________
YOLANDA E. JACINTO
Director III /Office-In-Charge

__________
Date: