TIME STAMP:

ILOILO 1 ELECTRIC COOPERATIVE, INC.

(ILECO-1)
Tigbauan, Iloilo

APPLICATION FOR LEAVE

Application No.: ____________ Date: ________________________

Name: ______________________________ Position: _____________________

From: ____________________ To: _____________________ No. of Days: __________________
Type of Leave:
Vacation Signature of Applicant
Sick
Others, please specify
_______________________________
_______________________________
_______________________

Reason(s):

Recommending Approval
Signature of Supervisor

_______________________

Leave Records as of: Action

Balance Leave Balance Approved Disapproved
Vacation Remarks
Sick
Certified Correct:

Personnel Officer LYN LEE F. LUCERO

HRD Section Head

GRACE LAARNI B. CUSTODIO

OIC-General Manager
Instructions:
1. Application for vacation and sick leave for one (1) full day or more shall be made on this form.
2. Application for vacation leave shall be filed in advance or two (2) days before going on such leave.
3. Application for sick leave shall be filed within the first day of such leave. Sick leave of atleast three (3) days and more must
be accompanied by a medical certificate.
4. It shall be the responsibility of the HRD Section Head to take appropriate action on application for leave and forward to the
General Manager for approval.