APPLICATION FOR LEAVE

CSC Form No. 6

Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)

DEPARTMENT OF EDUCATION
CRUZ , JUAN DELA
DIVISION OF EL SALVADOR CITY

3. DATE OF FILING 4. POSITION 5. SALARY

October 10, 2018 TEACHER I 20,179.00

6. DETAILS OF APPLICATION
6.1 TYPE OF LEAVE 6.2 WHERE LEAVE WILL BE SPENT:
Vacation Leave 1 IN CASE OF VACATION LEAVE
To seek employment ü Within the Philippines
Others (Specify) Abroad (Specify) ____________________
ü Sick Leave 2 IN CASE OF SICK LEAVE
Maternity Leave In Hospital (Specify)
Others (Specify) Out Patient (Specify)

6.3 NUMBER OF WORKING DAY/S APPLIED FOR 6.4 COMMUTATION

1.00 P Not Requested
INCLUSIVE DATE/S Requested ____________________________

October 09, 2018

Signature of Applicant
7. DETAILS OF ACTION ON APPLICATION
7.1 CERTIFICATION OF LEAVE CREDITS 7.2 RECOMMENDATION
As of
Approval
Service Other type
Total
Credits of Leave Disapproval due to
Previous Balance:
Less:
Remaining Balance:
Days Days Days

ANNA MAE M. ATILLO

Human Resource Management Officer II School Head
7.3 APPROVED FOR: 7.4 DISAPPROVED DUE TO:

days with pay

days without pay
others (Specify) ______________

Date:

JESNAR DEMS S. TORRES, Ph.D., CESE

OIC-Schools Division Superintendent

1. An employee who is absent without approved leave shall not be entitled to receive his/her salary corresponding to the period of his/her unauthorized leave of absence.
2. Application for Vacation or Sick Leave for one full day or more shall be made in this form and to be accomplished at least in duplicate.
3. All applications for Vacation Leave of absence for one (1) full day or more shall be submitted on the prescribed form five (5) days in advance, whenever possible,
of the effective date of such leave.
4. All application for Sick Leave of absence for one (1) full day or more shall be made on the prescribed form and shall be filed immediately upon employee's return from
such leave. Notice of absence, however, should be sent to the immediate supervisor and/or to the agency head. Application for sick leave in excess of five (5) successive
days shall be accompanied by a proper medical certificate.
5.Sick Leave may be applied for in advance in cases where the official or employee will undergo medical examination or operation or advised to rest in view of ill health
duly supported by a medical certificate.
6. Leave without Pay (LWOP) not exceeding one year (1) year may be granted. LWOP exceeding one (1) month shall require the clearance of the proper head of
department or agency.
7. An Applicant of leave of absence for thirty (30) calendar days or more must accomplish a clearance from money and property accountability.
8. Officials and employees shall be allowed to monetize a minimum of ten (10) days, provided that at least five (5) days credit is retained after monetization
and provided further that a maximum of thirty (30) days may be monetized in a given year; Subject to availability of funds.
 APPLICATION FOR LEAVE
CSC Form No. 6
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)

DEPARTMENT OF EDUCATION
CRUZ , JUAN DELA
DIVISION OF EL SALVADOR CITY

3. DATE OF FILING 4. POSITION 5. SALARY

October 10, 2018 ADMINISTRATIVE ASSISTANT III 17,473.00

6. DETAILS OF APPLICATION
6.1 TYPE OF LEAVE 6.2 WHERE LEAVE WILL BE SPENT:
ü Vacation Leave 1 IN CASE OF VACATION LEAVE
To seek employment ü Within the Philippines
ü Others (Specify) FORCED LEAVE Abroad (Specify) ____________________
Sick Leave 2 IN CASE OF SICK LEAVE
Maternity Leave In Hospital (Specify)
Others (Specify) Out Patient (Specify)

6.3 NUMBER OF WORKING DAY/S APPLIED FOR 6.4 COMMUTATION

1.00 P Not Requested
INCLUSIVE DATE/S Requested ____________________________

October 25, 2018

Signature of Applicant
7. DETAILS OF ACTION ON APPLICATION
7.1 CERTIFICATION OF LEAVE CREDITS 7.2 RECOMMENDATION
As of
Approval
Vacation Sick Total Disapproval due to
Previous Balance:
Less:
Remaining Balance:
Days Days Days

ANNA MAE M. ATILLO

Human Resource Management Officer II School Head
7.3 APPROVED FOR: 7.4 DISAPPROVED DUE TO:

days with pay

days without pay
others (Specify) ______________

Date:

JESNAR DEMS S. TORRES, Ph.D., CESE

OIC-Schools Division Superintendent

1. An employee who is absent without approved leave shall not be entitled to receive his/her salary corresponding to the period of his/her unauthorized leave of absence.
2. Application for Vacation or Sick Leave for one full day or more shall be made in this form and to be accomplished at least in duplicate.
3. All applications for Vacation Leave of absence for one (1) full day or more shall be submitted on the prescribed form five (5) days in advance, whenever possible,
of the effective date of such leave.
4. All application for Sick Leave of absence for one (1) full day or more shall be made on the prescribed form and shall be filed immediately upon employee's return from
such leave. Notice of absence, however, should be sent to the immediate supervisor and/or to the agency head. Application for sick leave in excess of five (5) successive
days shall be accompanied by a proper medical certificate.
5.Sick Leave may be applied for in advance in cases where the official or employee will undergo medical examination or operation or advised to rest in view of ill health
duly supported by a medical certificate.
6. Leave without Pay (LWOP) not exceeding one year (1) year may be granted. LWOP exceeding one (1) month shall require the clearance of the proper head of
department or agency.
7. An Applicant of leave of absence for thirty (30) calendar days or more must accomplish a clearance from money and property accountability.
8. Officials and employees shall be allowed to monetize a minimum of ten (10) days, provided that at least five (5) days credit is retained after monetization
and provided further that a maximum of thirty (30) days may be monetized in a given year; Subject to availability of funds.
 APPLICATION FOR LEAVE
CSC Form No. 6
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)

DEPARTMENT OF EDUCATION
,
DIVISION OF EL SALVADOR CITY

3. DATE OF FILING 4. POSITION 5. SALARY

6. DETAILS OF APPLICATION
6.1 TYPE OF LEAVE 6.2 WHERE LEAVE WILL BE SPENT:
Vacation Leave 1 IN CASE OF VACATION LEAVE
To seek employment Within the Philippines
Others (Specify) Abroad (Specify) ____________________
Sick Leave 2 IN CASE OF SICK LEAVE
Maternity Leave In Hospital (Specify)
Others (Specify) Out Patient (Specify)

6.3 NUMBER OF WORKING DAY/S APPLIED FOR 6.4 COMMUTATION

Not Requested
INCLUSIVE DATE/S Requested : ____________________

Signature of Applicant
7. DETAILS OF ACTION ON APPLICATION
7.1 CERTIFICATION OF LEAVE CREDITS 7.2 RECOMMENDATION
As of
Approval
Vacation Sick Total Disapproval due to
Previous Balance:
Less:
Remaining Balance:
Days Days Days

ANNA MAE M. ATILLO JEFFREY M. MARTINEZ

Human Resource Management Officer II Administrative Officer V
7.3 APPROVED FOR: 7.4 DISAPPROVED DUE TO:

days with pay

days without pay
others (Specify) ______________

Date:

JESNAR DEMS S. TORRES, Ph.D., CESE

OIC-Schools Division Superintendent

1. An employee who is absent without approved leave shall not be entitled to receive his/her salary corresponding to the period of his/her unauthorized leave of absence.
2. Application for Vacation or Sick Leave for one full day or more shall be made in this form and to be accomplished at least in duplicate.
3. All applications for Vacation Leave of absence for one (1) full day or more shall be submitted on the prescribed form five (5) days in advance, whenever possible,
of the effective date of such leave.
4. All application for Sick Leave of absence for one (1) full day or more shall be made on the prescribed form and shall be filed immediately upon employee's return from
such leave. Notice of absence, however, should be sent to the immediate supervisor and/or to the agency head. Application for sick leave in excess of five (5) successive
days shall be accompanied by a proper medical certificate.
5.Sick Leave may be applied for in advance in cases where the official or employee will undergo medical examination or operation or advised to rest in view of ill health
duly supported by a medical certificate.
6. Leave without Pay (LWOP) not exceeding one year (1) year may be granted. LWOP exceeding one (1) month shall require the clearance of the proper head of
department or agency.
7. An Applicant of leave of absence for thirty (30) calendar days or more must accomplish a clearance from money and property accountability.
8. Officials and employees shall be allowed to monetize a minimum of ten (10) days, provided that at least five (5) days credit is retained after monetization
and provided further that a maximum of thirty (30) days may be monetized in a given year; Subject to availability of funds.
 APPLICATION FOR LEAVE
CSC Form No. 6
Revised 1984
1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)

DEPARTMENT OF EDUCATION
CRUZ, , JUAN DELA
DIVISION OF EL SALVADOR CITY

3. DATE OF FILING 4. POSITION 5. SALARY

October 10, 2018 ADMINISTRATIVE ASSISTANT III 17,473.00

6. DETAILS OF APPLICATION
6.1 TYPE OF LEAVE 6.2 WHERE LEAVE WILL BE SPENT:
Vacation Leave 1 IN CASE OF VACATION LEAVE
To seek employment Within the Philippines
Others (Specify) Abroad (Specify)
ü Sick Leave 2 IN CASE OF SICK LEAVE
Maternity Leave In Hospital (Specify)
Others (Specify) ü Out Patient (Specify)

6.3 NUMBER OF WORKING DAY/S APPLIED FOR 6.4 COMMUTATION

1.00 ü Not Requested
INCLUSIVE DATE/S Requested ___________________________

October 09, 2018

Signature of Applicant
7. DETAILS OF ACTION ON APPLICATION
7.1 CERTIFICATION OF LEAVE CREDITS 7.2 RECOMMENDATION
As of
Approval
Vacation Sick Total Disapproval due to
Previous Balance:
Less:
Remaining Balance:
Days Days Days

ANNA MAE M. ATILLO

Human Resource Management Officer II Administrative Officer V / Unit Head
7.3 APPROVED FOR: 7.4 DISAPPROVED DUE TO:

days with pay

days without pay
others (Specify) ______________

Date:

JESNAR DEMS S. TORRES, Ph.D., CESE

OIC-Schools Division Superintendent

1. An employee who is absent without approved leave shall not be entitled to receive his/her salary corresponding to the period of his/her unauthorized leave of absence.
2. Application for Vacation or Sick Leave for one full day or more shall be made in this form and to be accomplished at least in duplicate.
3. All applications for Vacation Leave of absence for one (1) full day or more shall be submitted on the prescribed form five (5) days in advance, whenever possible,
of the effective date of such leave.
4. All application for Sick Leave of absence for one (1) full day or more shall be made on the prescribed form and shall be filed immediately upon employee's return from
such leave. Notice of absence, however, should be sent to the immediate supervisor and/or to the agency head. Application for sick leave in excess of five (5) successive
days shall be accompanied by a proper medical certificate.
5.Sick Leave may be applied for in advance in cases where the official or employee will undergo medical examination or operation or advised to rest in view of ill health
duly supported by a medical certificate.
6. Leave without Pay (LWOP) not exceeding one year (1) year may be granted. LWOP exceeding one (1) month shall require the clearance of the proper head of
department or agency.
7. An Applicant of leave of absence for thirty (30) calendar days or more must accomplish a clearance from money and property accountability.
8. Officials and employees shall be allowed to monetize a minimum of ten (10) days, provided that at least five (5) days credit is retained after monetization
and provided further that a maximum of thirty (30) days may be monetized in a given year; Subject to availability of funds.