CS FORM NO. 6 CS FORM NO.

6
Revised 1984 Revised 1984

APPLICATION FOR LEAVE APPLICATION FOR LEAVE

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

3. Date of Filing 4. Position 5. SALARY (Monthly) 3. Date of Filing 4. Position 5. SALARY (Monthly)

DETAILS OF APPLICATION DETAILS OF APPLICATION

6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT: 6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT:
[ ] VACATION (1) IN CASE OF VACATION LEAVE [ ] VACATION (1) IN CASE OF VACATION LEAVE
[ ] To seek employment [ ] Within the Philippines [ ] To seek employment [ ] Within the Philippines
[ ] Other (Specify) [ ] Abroad (Specify) [ ] Other (Specify) [ ] Abroad (Specify)

[ ] SICK (2) IN CASE OF SICK LEAVE [ ] SICK (2) IN CASE OF SICK LEAVE
[ ] Maternity [ ] In Hospital (Specify) [ ] Maternity [ ] In Hospital (Specify)
[ ] Other (Specify) [ ] Out-patient (Specify) [ ] Other (Specify) [ ] Out-patient (Specify)

6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION 6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION
FOR: [ ] Requested [ ] Not Requested FOR: [ ] Requested [ ] Not Requested
INCLUSIVE DATES INCLUSIVE DATES

(Signature of Applicant) (Signature of Applicant)

DETAILS OF ACTION ON APPLICATION DETAILS OF ACTION ON APPLICATION

7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION 7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION
As of [ ] Approval As of [ ] Approval
Vacation Sick Total [ ] Disapproval due to Vacation Sick Total [ ] Disapproval due to
 (Personnel Officer) (Authorized Official) (Personnel Officer) (Authorized Official)

7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO: 7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO:
_ Days with pay _ Days with pay
_ Days without pay _ Days without pay
_ Others (Specify) _ Others (Specify)

___________________ ___________________
Signature Signature
Date: _________________ Date: _________________
CS FORM NO. 6 CS FORM NO. 6
Revised 1984 Revised 1984

APPLICATION FOR LEAVE

DepEd - So.Leyte RAMOS ROSE ANN GARCIA DepEd - So.Leyte

1. OFFICE AGENCY 2. NAME (Last) (First) (Middle) 1. OFFICE AGENCY
January 13, 2019 Administrative Assistant III January 13, 2019
3. Date of Filing 4. Position 5. SALARY (Monthly) 3. Date of Filing

DETAILS OF APPLICATION
6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT: 6. a) TYPE OF LEAVE
[ ] VACATION (1) IN CASE OF VACATION LEAVE [ ] VACATION
[ ] To seek employment [ ] Within the Philippines [ ] To seek employmen
[ ] Other (Specify) [ ] Abroad (Specify) [ ] Other (Specify)

[ / ] SICK (2) IN CASE OF SICK LEAVE [ / ] SICK

[ ] Maternity [ ] In Hospital (Specify) [ ] Maternity
[ ] Other (Specify) [ ] Out-patient (Specify) [ ] Other (Specify)

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

FOhalf day [ ] Requested [ ] Not Requested FORhalf day
INCLUSIVE DATES INCLUSIVE DATES
January 12, 2019 January 12, 2019

(Signature of Applicant)

DETAILS OF ACTION ON APPLICATION DETAI

7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION 7. a) CERTIFICATION OF LEA
As of [ ] Approval As of
Vacation Sick Total [ ] Disapproval due to Vacation

JOEL K. QUILANTANG
(Personnel Officer) (Authorized Official) (Personnel Off

7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO: 7. c) APPROVED FOR

_ Days with pay _ Days with pay
_ Days without pay _ Days without pay
_ Others (Specify) _ Others (Specify)

GENIS S. MURALLOS, Ed.D, CESO V

Signature
Date: _________________
 APPLICATION FOR LEAVE

eyte RAMOS ROSE ANN GARCIA

2. NAME (Last) (First) (Middle)
19 Administrative Assistant III
4. Position 5. SALARY (Monthly)

DETAILS OF APPLICATION
E 6. b) WHERE LEAVE WILL BE SPENT:
N (1) IN CASE OF VACATION LEAVE
mployment [ ] Within the Philippines
ecify) [ ] Abroad (Specify)

(2) IN CASE OF SICK LEAVE

[ ] In Hospital (Specify)
ecify) [ ] Out-patient (Specify)

ORKING DAYS APPLIED 6. d) COMMUTATION

[ ] Requested [ ] Not Requested
ATES
2, 2019

(Signature of Applicant)

DETAILS OF ACTION ON APPLICATION

N OF LEAVE CREDITS 7. b) RECOMMENDATION
[ ] Approval
Sick Total [ ] Disapproval due to

JOEL K. QUILANTANG
sonnel Officer) (Authorized Official)

R 7. d) DISAPPROVED DUE TO:

pay
out pay
pecify)

GENIS S. MURALLOS, Ed.D, CESO V

Signature
Date: _________________
CS FORM NO. 6 Cell# 09615164239 CS FORM NO. 6 Cell# 09615164239
Revised 1984 Revised 1984

APPLICATION FOR LEAVE APPLICATION FOR LEAVE

DepEd - So.Leyte LALIC ANNA MARIE MALULAN DepEd - So.Leyte LALIC ANNA MARIE MALULAN
1. OFFICE AGENCY 2. NAME (Last) (First) (Middle) 1. OFFICE AGENCY 2. NAME (Last) (First) (Middle)
November 17, 2020 HT-1 P29,277.00 November 17, 2020 HT-1 P29,277.
3. Date of Filing 4. Position 5. SALARY (Monthly) 3. Date of Filing 4. Position 5. SALARY (Monthly)

DETAILS OF APPLICATION DETAILS OF APPLICATION

6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT: 6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT:
[ / ] VACATION (1) IN CASE OF VACATION LEAVE [ / ] VACATION (1) IN CASE OF VACATION LEAVE
[ ] To seek employment [ ] Within the Philippines [ ] To seek employment [ ] Within the Philippines
[ ] Other (Specify) MANDATORY/FORCE [ ] Abroad (Specify) [ ] Other (Specify) MANDATORY/FORCE [ ] Abroad (Specify)
LEAVE LEAVE
[ ] SICK (2) IN CASE OF SICK LEAVE [ ] SICK (2) IN CASE OF SICK LEAVE
[ ] Maternity [ ] In Hospital (Specify) [ ] Maternity [ ] In Hospital (Specify)
[ ] Other (Specify) [ ] Out-patient (Specify) [ ] Other (Specify) [ ] Out-patient (Specify)

6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION 6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION
FOFIVE (5) days [ ] Requested [ ] Not Requested FORFIVE (5) days [ ] Requested [ ] Not Requested
INCLUSIVE DATES INCLUSIVE DATES
Nov. 23-27,2020 Nov. 23-27,2020

(Signature of Applicant) (Signature of Applicant)

DETAILS OF ACTION ON APPLICATION DETAILS OF ACTION ON APPLICATION

7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION 7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION
As of [ ] Approval As of [ ] Approval
Vacation Sick Total [ ] Disapproval due to Vacation Sick Total [ ] Disapproval due to

MARLYN M. ARMONIA MARLYN M. ARMONIA

(Personnel Officer) (Authorized Official) (Personnel Officer) (Authorized Official)

7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO: 7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO:
_ Days with pay _ Days with pay
_ Days without pay _ Days without pay
_ Others (Specify) _ Others (Specify)

RANULFO L. MARAON RANULFO L. MARAON

Administrative Officer V Administrative Officer V
Date: _________________ Date: _________________
CS FORM NO. 6 CS FORM NO. 6
Revised 1984 Revised 1984

APPLICATION FOR LEAVE APPLICATION FOR LEAVE

DepEd - So.Leyte RAMOS ROSE ANN GARCIA DepEd - So.Leyte RAMOS ROSE ANN GARCIA
1. OFFICE AGENCY 2. NAME (Last) (First) (Middle) 1. OFFICE AGENCY 2. NAME (Last) (First) (Middle)
January 21, 2020 Administrative Assistant III January 21, 2020 Administrative Assistant III
3. Date of Filing 4. Position 5. SALARY (Monthly) 3. Date of Filing 4. Position 5. SALARY (Monthly)

DETAILS OF APPLICATION DETAILS OF APPLICATION

6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT: 6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT:
[ ] VACATION (1) IN CASE OF VACATION LEAVE [ ] VACATION (1) IN CASE OF VACATION LEAVE
[ ] To seek employment [ ] Within the Philippines [ ] To seek employment [ ] Within the Philippines
[ ] Other (Specify) [ ] Abroad (Specify) [ ] Other (Specify) [ ] Abroad (Specify)

[ / ] SICK (2) IN CASE OF SICK LEAVE [ / ] SICK (2) IN CASE OF SICK LEAVE
[ ] Maternity [ ] In Hospital (Specify) [ ] Maternity [ ] In Hospital (Specify)
[ ] Other (Specify) [ ] Out-patient (Specify) [ ] Other (Specify) [ ] Out-patient (Specify)

6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION 6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION
FO2 & a half days [ ] Requested [ ] Not Requested FOR2 & a half days [ ] Requested [ ] Not Requested
INCLUSIVE DATES INCLUSIVE DATES
Jan 3 (PM), Jan 13 & Jan 20 Jan 3 (PM), Jan 13 & Jan 20

(Signature of Applicant) (Signature of Applicant)

DETAILS OF ACTION ON APPLICATION DETAILS OF ACTION ON APPLICATION

7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION 7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION
As of [ ] Approval As of [ ] Approval
Vacation Sick Total [ ] Disapproval due to Vacation Sick Total [ ] Disapproval due to

REY B. MOCA REY B. MOCA

(Personnel Officer) (Authorized Official) (Personnel Officer) (Authorized Official)

7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO: 7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO:
_ Days with pay _ Days with pay
_ Days without pay _ Days without pay
_ Others (Specify) _ Others (Specify)

RANULFO L. MARAON RANULFO L. MARAON

Administrative Officer V Administrative Officer V
Date: _________________ Date: _________________
CS FORM NO. 6 CS FORM NO. 6
Revised 1984 Revised 1984

APPLICATION FOR LEAVE APPLICATION FOR LEAVE

DepEd - So.Leyte RAMOS ROSE ANN GARCIA DepEd - So.Leyte RAMOS ROSE ANN GARCIA
1. OFFICE AGENCY 2. NAME (Last) (First) (Middle) 1. OFFICE AGENCY 2. NAME (Last) (First) (Middle)
February 03, 2020 Administrative Assistant III February 03, 2020 Administrative Assistant III
3. Date of Filing 4. Position 5. SALARY (Monthly) 3. Date of Filing 4. Position 5. SALARY (Monthly)

DETAILS OF APPLICATION DETAILS OF APPLICATION

6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT: 6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT:
[ ] VACATION (1) IN CASE OF VACATION LEAVE [ ] VACATION (1) IN CASE OF VACATION LEAVE
[ ] To seek employment [ ] Within the Philippines [ ] To seek employment [ ] Within the Philippines
[ ] Other (Specify) [ ] Abroad (Specify) [ ] Other (Specify) [ ] Abroad (Specify)

[ / ] SICK (2) IN CASE OF SICK LEAVE [ / ] SICK (2) IN CASE OF SICK LEAVE
[ ] Maternity [ ] In Hospital (Specify) [ ] Maternity [ ] In Hospital (Specify)
[ ] Other (Specify) [ ] Out-patient (Specify) [ ] Other (Specify) [ ] Out-patient (Specify)

6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION 6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION
FO1 day [ ] Requested [ ] Not Requested FOR1 day [ ] Requested [ ] Not Requested
INCLUSIVE DATES INCLUSIVE DATES
January 31, 2020 January 31, 2020

(Signature of Applicant) (Signature of Applicant)

DETAILS OF ACTION ON APPLICATION DETAILS OF ACTION ON APPLICATION

7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION 7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION
As of [ ] Approval As of [ ] Approval
Vacation Sick Total [ ] Disapproval due to Vacation Sick Total [ ] Disapproval due to

JOEL K. QUILANTANG JOEL K. QUILANTANG

(Personnel Officer) (Authorized Official) (Personnel Officer) (Authorized Official)

7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO: 7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO:
_ Days with pay _ Days with pay
_ Days without pay _ Days without pay
_ Others (Specify) _ Others (Specify)

RANULFO L. MARAON
RANULFO L. MARAON
Administrative Officer V Administrative Officer V
Date: _________________ Date: _________________
CS FORM NO. 6 CS FORM NO. 6
Revised 1984 Revised 1984

APPLICATION FOR LEAVE APPLICATION FOR LEAVE

DepEd - So.Leyte SAROL APRIL LOVE SUASE DepEd - So.Leyte SAROL APRIL LOVE SUASE
1. OFFICE AGENCY 2. NAME (Last) (First) (Middle) 1. OFFICE AGENCY 2. NAME (Last) (First) (Middle)
February 13, 2020 SPED TEACHER III February 13, 2020 SPED TEACHER III
3. Date of Filing 4. Position 5. SALARY (Monthly) 3. Date of Filing 4. Position 5. SALARY (Monthly)

DETAILS OF APPLICATION DETAILS OF APPLICATION

6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT: 6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT:
[ ] VACATION (1) IN CASE OF VACATION LEAVE [ ] VACATION (1) IN CASE OF VACATION LEAVE
[ ] To seek employment [ ] Within the Philippines [ ] To seek employment [ ] Within the Philippines
[ ] Other (Specify) [ ] Abroad (Specify) [ ] Other (Specify) [ ] Abroad (Specify)

[ / ] SICK (2) IN CASE OF SICK LEAVE [ / ] SICK (2) IN CASE OF SICK LEAVE
[ ] Maternity [ ] In Hospital (Specify) [ ] Maternity [ ] In Hospital (Specify)
[ ] Other (Specify) [ / ] Out-patient (Specify) [ ] Other (Specify) [ / ] Out-patient (Specify)

6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION 6. c) NUMBER OF WORKING DAYS APPLIED 6. d) COMMUTATION
FOWHOLE DAY [ ] Requested [ ] Not Requested FORWHOLE DAY [ ] Requested [ ] Not Requested
INCLUSIVE DATES INCLUSIVE DATES
February 12, 2020 February 12, 2020

(Signature of Applicant) (Signature of Applicant)

DETAILS OF ACTION ON APPLICATION DETAILS OF ACTION ON APPLICATION

7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION 7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION
As of [ ] Approval As of [ ] Approval
Vacation Sick Total [ ] Disapproval due to Vacation Sick Total [ ] Disapproval due to

REY B. MOCA REY B. MOCA

(Personnel Officer) (Authorized Official) (Personnel Officer) (Authorized Official)

7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO: 7. c) APPROVED FOR 7. d) DISAPPROVED DUE TO:
_ Days with pay _ Days with pay
_ Days without pay _ Days without pay
_ Others (Specify) _ Others (Specify)

RANULFO L. MARAON RANULFO L. MARAON

Administrative Officer V Administrative Officer V
Date: _________________ Date: _________________