APPLICATION FOR LEAVE

CSC Form No. 36

Revised 1987

1. OFFICE AGENCY 2. Name (Last) (First) (Middle)

BFAR10 ABAO GLADYS SAAVEDRA
3.DATE OF FILING 4. POSITION 5. SALARY (Monthly)
AUG. 5, 2019 FISHING REGULATIONS
OFFICER I

DETAILS OF APPLICATION
6. a) TYPE OF LEAVE b) WHERE LEAVE WILL BE PRESENT

VACATION (1) IN CASE OF VACATION LEAVE

( ) To seek employment ( ) Within the country __________________
( ) Others (specify) ( ) Others (specify) __________________

( ) SICK (2) IN CASE OF SICK LEAVE

( ) MATERNITY ( ) In hospital (specify) __________________
( ) OTHERS (Specify) ( ) Out-patient (specify) __________________
Force leave

c) NUMBER OF WORKING d) COMMUTATION

DAYS APPLIED ( ) Requested ( ) Not Requested
For: 4 days
Inclusive Dates:
Aug. 5-8, 2019
Signature of Applicant

DETAILS OF APPLICATION

a) CERTIFICATION OF LEAVE CREDITS b) RECOMMENDATION

As of ____________________ ( ) Approved __________________________

( ) Disapproved due to:__________________

Vacation Sick Total

Days Days Days

ARMANDO G. SIMBANO CLAUDIO P. FABRE

OIC, Finance and Admin. Division Immediate Supervisor

c) Approved for d) Disapproved due to:

Day(s) with pay
Day(s) without pay
Others (specify)

Date

ALLAN L. POQUITA, PhD.

Regional Director