Republika ng Pilipinas

Kagawaran ng Edukasyon
Region XI
SANGAY NG COMPOSTELA VALLEY
Nabunturan

CSC Form No. 6 (Revised 1985) APPLICATION OF LEAVE

TYPE OF LEAVE

Signature : SICK In hospital

Name : Out patient

Position : VACATION within the Philippines

Employee No. : abroad (specify) ____________

Monthly Basic Salary :

Station :
Division : MATERNITY

Date of Original Appointment: OTHERS (Specify)

Date of Filing :

No. of working days applied for

Inclusive date/s :
COMMUTATION:
ACTION ON APPLICATION
Recommending
NOTED: Approval

Disapproval due to
JENNY O. DERANO
T-II/HR Designate
Approved for:
WITNESSES:
Days With Pay

Days Without Pay

Days With Pay Charged to COC

FOR PERSONNEL USE ONLY Disapproved due to:

Leave Credits as of: VL SL TOTAL RECOMMENDING APPROVAL:

__________________
Less: THIS LEAVE
RONALD A. DERANO, M.A.
BALANCE Asst. School Principal II

Certified correct by: APPROVED:

NORBERTO S. MANLANGIT, CE, MPA REYNANTE A. SOLITARIO, ED.D.
Administrative Officer V OIC-Schools Division Superintendent
`
 Republika ng Pilipinas
Kagawaran ng Edukasyon
SANGAY NG COMPOSTELA VALLEY
Nabunturan

CSC Form No. 6 (Revised 1985) APPLICATION OF LEAVE

TYPE OF LEAVE
Signature : SICK In hospital

Name : TITA B. CLAVERIA Out patient

Position : ADAS II VACATION within the Philippines

Monthly Basic Salary :17,663.00 abroad (specify) ___________

Employee No. 1401730
Station : Pasian National High School MATERNITY

Division : Dep-Ed Compostela Valley / OTHERS (Specify) Special Leave

Date of Original Appointment: October 14, 2016

Date of Filing : December 07, 2020

No. of working days applied for : 3 days

Inclusive date/s : December 23, 28, 29, 2020
COMMUTATION:
Requested ACTION ON APPLICATION
Not Requested Recommending
Approval

Disapproval due to

Approved for:
WITNESSES:
Days With Pay
Days Without Pay
Days With Pay Charged to COC
FOR PERSONNEL USE ONLY Disapproved due to:

Leave Credits as of: COC VL SL TOTAL RECOMMENDING APPROVAL:

Less: THIS LEAVE

JENNY O. DERANO
BALANCE T-III/Teacher In-Charge

Certified correct by: APPROVED:

NORBERTO S. MANLANGIT, MPA EUFEMIA T. GAMUTIN, CESO V

Administrative Officer V Schools Division Superintendent
 Republika ng Pilipinas
Kagawaran ng Edukasyon
SANGAY NG COMPOSTELA VALLEY
Nabunturan

CSC Form No. 6 (Revised 1985) APPLICATION OF LEAVE

TYPE OF LEAVE
Signature : ∕ SICK In hospital

Name : JAY MARK M. VILLA ∕ Out patient

Position : TEACHER I VACATION within the Philippines

Monthly Basic Salary :21,038.00 abroad (specify) ___________

Employee No. 8405470
Station : Pasian National High School MATERNITY

Division : Dep-Ed Compostela Valley OTHERS (Specify)

Date of Original Appointment: March 3, 2015

Date of Filing : June 27, 2019

No. of working days applied for : 1 day

Inclusive date/s : June 25, 2019
COMMUTATION:
Requested ACTION ON APPLICATION
Not Requested Recommending
Noted by: Approval

Disapproval due to
JENNY O. DERANO
Teacher II/HR - Designate
Approved for:
WITNESSES:
Days With Pay
TITA B.. CLAVERIA REIMUEL M. BISNAR Days Without Pay
Days With Pay Charged to COC
FOR PERSONNEL USE ONLY Disapproved due to:

Leave Credits as of: COC VL SL TOTAL RECOMMENDING APPROVAL:

Less: THIS LEAVE

RONALD A. DERANO
BALANCE ASP II

Certified correct by: APPROVED:

NORBERTO S. MANLANGIT, MPA REYNANTE A. SOLITARIO, Ed.D.

Administrative Officer V OIC-Office of the Schools DivisionSuperintendent
 Republika ng Pilipinas
Kagawaran ng Edukasyon
SANGAY NG COMPOSTELA VALLEY
Nabunturan

CSC Form No. 6 (Revised 1985) APPLICATION OF LEAVE

TYPE OF LEAVE
Signature : / SICK In hospital

Name : DIOSA AMOR B. RAGMAC / Out patient

Position : TEACHER I VACATION within the Philippines

Monthly Basic Salary :20,963.00 abroad (specify) ___________

Employee No. 8405620
Station : Pasian National High School MATERNITY

Division : Dep-Ed Compostela Valley OTHERS (Specify)

Date of Original Appointment: SEPTEMBER 16, 2009

Date of Filing : December 4, 2019

No. of working days applied for : 2 days

Inclusive date/s : November 26-27, 2019
COMMUTATION:
Requested ACTION ON APPLICATION
Not Requested Recommending
Noted by: Approval

Disapproval due to
TITA B. CLAVERIA
ADAS II/HR Designate
Approved for:
WITNESSES:
Days With Pay
ROMILYN R. CATAYAS JULIET B. CASTILLO Days Without Pay
T-I T-I
Days With Pay Charged to COC
FOR PERSONNEL USE ONLY Disapproved due to:

Leave Credits as of: COC VL SL TOTAL RECOMMENDING APPROVAL:

Less: THIS LEAVE

JENNY O. DERANO
BALANCE T-III/School In-Charge

Certified correct by: APPROVED:

NORBERTO S. MANLANGIT, MPA EUFEMIA T. GAMUTIN, CESO V

Administrative Officer V Schools Division Superintendent
 Republika ng Pilipinas
Kagawaran ng Edukasyon
SANGAY NG COMPOSTELA VALLEY
Nabunturan

CSC Form No. 6 (Revised 1985) APPLICATION OF LEAVE

TYPE OF LEAVE
Signature : SICK In hospital

Name : ANA MAE L. SISNEROS Out patient

Position : TEACHER II VACATION within the Philippines

Monthly Basic Salary : 26,052.00 abroad (specify) ___________

Employee No. 1403750
Station : Pasian National High School MATERNITY

Division : Dep-Ed Compostela Valley OTHERS (Specify) SPECIAL LEAVE

Date of Original Appointment: July 03, 2017

Date of Filing :

No. of working days applied for :

Inclusive date/s :
COMMUTATION:
Requested ACTION ON APPLICATION
Not Requested Recommending
Noted by: Approval

Disapproval due to
TITA B. CLAVERIA
ADAS II/HR Designate
Approved for:
WITNESSES:
Days With Pay
CHRISTINE A. TEVES ISABEL B. DOYDOY Days Without Pay
Days With Pay Charged to COC
FOR PERSONNEL USE ONLY Disapproved due to:

Leave Credits as of: COC VL SL TOTAL RECOMMENDING APPROVAL:

Less: THIS LEAVE

JENNY O. DERANO
BALANCE HT-I/Teacher In-Charge

Certified correct by: APPROVED:

NORBERTO S. MANLANGIT, MPA EUFEMIA T. GAMUTIN, CESO V

Administrative Officer V Schools Division Superintendent