APPLICATION FOR LEAVE

1. OFFICE/AGENCY 2. a) NAME (Last) (First) (Middle) 2. b) EMPLOYEE NO.

CGS 2 – A, B & C – Audit
Team R9-0, 0 2 7 1 4 3 8
COA IX, Zbga. City VILUAN NEMIR JOSEPH GASPAR
3. DATE OF FILING 4. POSITION 5. SALARY(Monthly)
1 2 2 7 2 0 1 8 STATE AUDITOR II P42,099.00
M M D D Y Y Y Y

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

Vacation 1. IN CASE OF VACATION LEAVE

Others (specify) Within the Philippines
_ Special Privilege Leave___ Abroad (specify) ____________________
Sick
Maternity 2. IN CASE OF SICK LEAVE
Paternity In Hospital (Specify) _______
Out Patient (Specify) At home

6. c) NUMBER OF WORKING DAYS 6. d) COMMUTATION

APPLIED FOR: Three (3) days Requested
INCLUSIVE DATES: Not Requested
FROM TO
MM DD YYYY MM DD YYYY
02 20 2019 02 22 2019

NEMIR JOSEPH G. VILUAN

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. a) CERTIFICATION OF LEAVE 7. b) RECOMMENDATION
As of ______________________ Approved
Disapproved due to ____________________
VACATION SICK TOTAL ____________________________________

APOLINAR C. SAGARAL SONIA T. TAN

Chief Administrative Officer SA III / OIC-Audit Team Leader
7. c) APPROVED FOR: 7. d) DISAPPROVED DUE TO:

days with pay

days without pay
others (specify)

BELEN O. LU
OIC-Regional Supervising Auditor, CGS 1, 2 and 4