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This Study Leave Contract “Contract” is made and entered into, by and between:
-and-
WITNESSETH: THAT -
Whereas, Civil Service Commission (CSC) Memorandum Circular No. 21, s. 2004,
otherwise known as “Amendment to Section 68 of CSC MC No. 14, s. 1999 relative the
Guidelines on Study Leave” provides that officials and employees, excluding those in the
teaching profession who are covered by different provisions of law, may be entitled to go on
study leave on official time to prepare for their bar/board examinations or complete their
master’s degree;
Whereas, the BENEFICIARY is requesting to avail the study leave privilege afore-
mentioned in order to prepare for his upcoming Bar Examination dated November 2022 at the
UNIVERSITY OF NUEVA CACERES for a period of three (3) months;
Whereas, the BENEFICIARY is qualified to avail the Study Leave Program pursuant to
the above-mentioned CSC guidelines on Study Leave;
NOW, THEREFORE, for and in consideration of the foregoing premises and of the terms
and conditions hereunder stipulated, the PARTIES hereby agree as follows:
1. Avail of the study leave to review for the upcoming November 2022 BAR
examination, on a full time basis for a period of three (3) months on official
time provided that he has met the following requirements to wit:
1.1 The field of study to be pursued is relevant to the duties and responsibilities
as a Teacher-I in SOCIAL STUDIES;
1.2 Has rendered at least two (2) years of service with at least very satisfactory
performance for the last two (2) rating periods immediately preceding his
application for Study Leave;
1
Study Leave Contract
between the Agency Head
2. Finish the study leave within the prescribed period without further extension;
3. Furnish the Human Resource Management Office (HRMO) with the copy of the
contract for study leave;
7. Refund the gross amount of salary, allowances and other benefits received while
on study leave proportionate to the balance of the service obligation required in
case the BENEFICIARY has failed to render in full the required service
obligation on account of voluntary resignation, optional retirement, separation
from the service through her own fault, or other causes within her control;
8. Refund to the AGENCY all the salaries and benefits received during the study
leave in case the BENEFICIARY has failed to complete his applied nutrition in
Juris Doctor.
3. Pay the salary and all authorized allowances or benefits of the BENEFICIARY;
4. Credit as continuous service the period of the study leave of the BENEFICIARY;
5. Effect the refund of salary, allowances and other benefits received by the
BENEFICIARY while on study leave for violation of the terms and conditions of
this contract.
IN WITNESS WHEREOF, the PARTIES hereto, affix their respective signatures this
__________________ at ______________, Philippines.
___________________________ _________________________
2
Study Leave Contract
between the Agency Head
Witness Witness
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the above place and jurisdiction, this ___ day of
__________________ 2022, personally appeared the following:
Both known to me and to me known to be the same persons who executed the foregoing
document and they acknowledged that the same is their own free will and voluntary act and
deed.
This document which refers to a Study Leave Contract consists of three (3) pages
including this Acknowledgment, signed on each and every page thereof by the parties thereto
and their two (2) instrumental witnesses.
WITNESS MY HAND AND SEAL, on the date and at the place above-mentioned.
NOTARY PUBLIC