We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
Jie 60
Bry, Republi of he Prisppnes
=e Provincial Goverament of Albay
‘ate ogazp Cy, Abey
APPLICATION FOR LEAVE
I OFFICEIDEPARTENT fe wane: an) (Fest ‘isd
ls oaTEOF FLING
lb. TYPE OF LEAVE TO BE AVAILED OF Jee DETAILS OF LEAVE
|T Veoation Leavers ce pe 0 0) ‘n case of Vecston Specie Prviogo Leave:
(C1 MandatoryForced Leave: 2 ile cubure gna 22 | CI Within tho Phipines
1 skccLeave a asec am mn 1 2) C1 Abroad (Spec)
TD aterity Leave ga mo rr nano Oem) 1 case of Sick Loave:
Ty eternity Leave a 880 020M cme Clin Hospi (spect tees),
C special Peviege Leave ic 2.RionkacAkcghmig EO Ho 209 | C1 Out Patient (Specty toss)
1D ovo Parent Leave ano eraracicno 8.209)
i staty Loove ge at Canepa 1n 0280 of Sposa Leave Banetts for Women:
1 t0-Dey VAMC Leave puna 266m 3) ‘Spec nese)
1 Rehabitatin Prvioge ee rac, mua gag 022)
Cr Special Leave Benefits for Women ae eres 24) 1h case of Study Leave:
1 special Emergency (Calamity) Leave cacuce 2 az men C1 Completion of Master's Degros
1 Adoption Leaver 02) {Cl earrBcard Examination Review
ther purpoee:
Otters: 1 Monetization of Leave Croats
Di Termine! Lowe
JSC NUMBER OF WORKING DAYS APPLIED FOR Jeo COMMUTATION
Not Requested
INCLUSIVE DATES: 1D Requeses
— ‘Signare of Apes)
7. DETAILS OF ACTION ON APPLIGATION
17.4 CERTIFICATION OF LEAVE CREDITS 17.8 RECOMMENDATION
Peed Fer approval
‘Vacation Leave Fer asapproval dunt
Total Fao
Tae ti
HERD OF OFFICE
re apeRovED FOR 70 ORAPPROVED DUE TO:
ay wth pay
daye wit pay
ewe speci
‘ATI. EDOH. GRECO A.8. LAGMAN - sa
Co
‘tot wy tw Wo wi i am cha “0 0 ow by We Wh eel neha
erm a Mir Hoy ee {oraper pti rt ty a of
‘im «hm omen n BePOTO ct eifedaan
‘eer toe he dn fe nes ofr
+ "Thewpcaen oye edn aon, ttn) ys
(iio sched ans fe pyeslgea gary a lbs
‘aly er ac
+ Theheate ies del ato repre tro gue of pci
‘Sergey ene ond vreston oo pleas ght be
Fechner oy pret 9 er oe
‘SSuatd ane soa sto amongst We et
1 Aden Lave
es vt ee bt ok otra re steno eeconpamedby ne em Bae. Ee
asd econ est GC mri Ces Mo 2,58)
