C.S.
Form 6
APPLICATION FOR LEAVE
1. OFFICE/AGENCY 2. Name (Last) (First) (Middle Initial)
DepED – SARANGANI ______________________________________________________
3. DATE OF FILING: 4. Position : _________________ 5. Salary (Monthly): PHP_________
____________________
DETAILS OF APPLICATION
6. (a.) Type of Leave (b.) Where Leave will be spent
{ } Vacation { } Maternity b.1. In case of vacation leave
{ } Sick Leave { } Paternity { } Within the Philippines
{ } Parental/Solo { } SPL { } Abroad: Specify ________________
{ } RA 9267 (VAWC) { } RA 9710 (Women SPL)
{ } Rehab Leave { } Force Leave
{ } COC’s/COT’s { } Monetization
{ } Others/Specify ______________________________
{ } To seek employment
(c.) NO. OF WORKING DAYS APPLIED FOR: (d.) Commutation
_________day { } Requested { } Not Requested
Inclusive Dates:___________________
___________________
______________________________
Signature of Applicant
RUBY V. BALANAY First Day of Service _____________
Head of Unit/Principal Employee No. ___________
DETAILS OF ACTION ON APPLICATION
7a. CERTIFICATION OF LEAVE CREDITS 7b. RECOMMENDATION
As of _______________________________
VL SL Total { } Approved:
Beg. Balance { } Disapproved due to: ______________________
This Leave
Remaining Balance
NEMIA B. OCHAVE
District Planning Officer
7c. Approved for: 7d. Disapproved Due to:
______________Days With Pay _________________________
______________Days Without Pay _________________________
______________Others (Specify)
JEFREY B. BAGONGON
Secondary School Principal I
District Principal In-Charge
C.S. Form 6
APPLICATION FOR LEAVE
1. OFFICE/AGENCY 2. Name: (Last) (First) (Middle Initial)
DepED – SARANGANI __________________________________________________
3. DATE OF FILING 4. Position : _Teacher I__ 5. Salary (Monthly) Php__________
_________________
DETAILS OF APPLICATION
6. (a.) Type of Leave (b.) Where Leave will be spent
{ } Vacation { } Maternity b.1. In case of vacation leave
{ } Sick Leave { } Paternity { } Within the Philippines
{ } Parental/Solo { } SPL { } Abroad: Specify ________________
{ } RA 9267 (VAWC) { } RA 9710 (Women SPL)
{ } Rehab Leave { } Force Leave
{ } COC’s/COT’s { } Monetization
{ } Others/Specify ______________________________
{ } To seek employment
(c.) NO. OF WORKING DAYS APPLIED FOR: (d.) Commutation
_________day { } Requested { } Not Requested
Inclusive Dates:___________________
___________________
______________________________
Signature of Applicant
_RUBY V. BALANAY First Day of Service _____________
Head of Unit/Principal Employee No. ___________
DETAILS OF ACTION ON APPLICATION
7a. CERTIFICATION OF LEAVE CREDITS 7b. RECOMMENDATION
As of _______________________________
VL SL Total { } Approved:
Beg. Balance { } Disapproved due to: ______________________
This Leave
Remaining Balance
ELAINE HAZEL M. DONASCO JEFREY B. BAGONGON
Administrative Officer IV Secondary School Principal I
District Principal In-Charge
7c. Approved for: 7d. Disapproved Due to:
______________Days With Pay _________________________
______________Days Without Pay _________________________
______________Others (Specify)
FELIX I. ANTECRISTO
Chief
Curriculum Implementation Division
C.S. Form 6
APPLICATION FOR LEAVE
1. OFFICE/AGENCY 2. Name: (Last) (First) (Middle Initial)
DepED – SARANGANI __________________________________________________
3. DATE OF FILING 4. Position : _Teacher I__ 5. Salary (Monthly) Php__________
_________________
DETAILS OF APPLICATION
6. (a.) Type of Leave (b.) Where Leave will be spent
{ } Vacation { } Maternity b.1. In case of vacation leave
{ } Sick Leave { } Paternity { } Within the Philippines
{ } Parental/Solo { } SPL { } Abroad: Specify ________________
{ } RA 9267 (VAWC) { } RA 9710 (Women SPL)
{ } Rehab Leave { } Force Leave
{ } COC’s/COT’s { } Monetization
{ } Others/Specify ______________________________
{ } To seek employment
(c.) NO. OF WORKING DAYS APPLIED FOR: (d.) Commutation
_________day { } Requested { } Not Requested
Inclusive Dates:___________________
___________________
______________________________
Signature of Applicant
_RUBY V. BALANAY First Day of Service _____________
Head of Unit/Principal Employee No. ___________
DETAILS OF ACTION ON APPLICATION
7a. CERTIFICATION OF LEAVE CREDITS 7b. RECOMMENDATION
As of _______________________________
VL SL Total { } Approved:
Beg. Balance { } Disapproved due to: ______________________
This Leave
Remaining Balance
JEFREY B. BAGONGON
ELAINE HAZEL M. DONASCO Secondary School Principal I
Administrative Officer IV District Principal In-Charge
7c. Approved for: 7d. Disapproved Due to:
______________Days With Pay _________________________
______________Days Without Pay _________________________
______________Others (Specify)
DR. LORENZO E. MENDOZA, CESO VI
Assistant Schools Division Superintendent
Officer In-Charge, Schools Division Superintendent
