Document Code: SDO-BTN-QF-OSDS-PER-006

Revision: 01
QUALITY FORM
Effectivity date: 06-20-2019

Form 6 Name of Office: PERSONNEL

All APPLICATION FOR LEAVE

1. School/District 2. Name (Last) (First) (Middle)

SDO BATAAN

3. Date of Filing 4. Position 5. Salary

DETAILS OF APPLICATION
6. (a) Type of Filing 6. (b) Where leave will be spent
Vacation (1) In case of Vacation Leave
To Seek Employment Within the Philippines
Abroad (Specify)

Sick (2) In case of Sick Leave

Maternity In Hospital (Specify)
Others (specify)
Out Patient (Specify)
6. (c) Number of working days applied for: 1.5 DAYS
6. (d) Commutation
Inclusive Dates:
Requested
From To Not Requested
mm dd yyyy mm dd yyyy

__________________________
Name and Signature of Applicant
7. (a) Certification of Leave Credits 7. (b) Recommendation
as of: Approval
Vacationdue to
Disapproval Sick Total

NORMA S. GUINTO
Roshenar V. Cruz Unit Head / Principal / PSDS
Administrative Officer IV Authorized Official
7. (c) Approved for: 7. (d) Disapproved due to
days with pay
days without pay
others (specify)
APPROVED:

PILAR C. IGNACIO
Administrative Officer V
kind of leaves of Teaching and Non-Teaching Personnel with less than 30 days leave & maternity leave (signatory: AOV)
All kind of leaves for Head of Schools / Unit Heads and leave of teachers with 30 days or more (signatory: Schools Division Superintendent)

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