APPLICATION FOR LEAVE
1. OFFICE / AGENCY (Las! (First) (Middle)
Regional Tal Court DOMINGO, LORNA NAVARRO
Branch 201, Las Pinas City
3. DATE OF FILING 4 POSITION 5 SALARY APPOINTMENT
April 30, 2020 JUDGE Permanent
DETAILS OF APPLICATION. _
61 TYPE OF LEAVE 62 WHERE WILL BE SPENT
VACATION IN CASE OF VACATION LEAVE
To seek employment _ Within the Philippines
Forfeitable Leave = Abroad (Specify)
Others
SICK IN CASE OF SICK LEAVE
~ MATERNITY __ in Hospital (Speety)
_ Out Patient (Specify)
63 NUMBER OF WORKING DAYS: 6.4
APPLIED FOR: One (1) day
INCLUSIVE DATES: May 7.2020
Lorna WAVARRO-DSMINGO
fature of Appicant)
ILS. OF ACTION ON APPLICA
7.4 CERTIFICATION OF LEAVE GREDITS: 72 RECOMMENDATION:
As of
,
|
PETE, ___ Approvat
VACATION, SICK LE ‘oval due to
7.3. APPROVED FOR: 7.4 DISAPPROVED DUE TO:
Days with pay
Days without pay
= Others (Specity)APPLICATION FOR LEAVE
1, OFFICE/AGENCY 2 NAME (Las (First) (Middiey
Regional Trial Court DOMINGO, LORNA NAVARRO
Branch 201, Las Putas City
3. DATE OF FILING 4 SALARY, APPOINTMENT
April 30, 2020 JUDGE Permanent
_DETAILS OF APPLICATION
6.1 TYPE OF LEAVE 62 WHERE WILL BE SPENT
VACATION th (OF VACATION LEAVE
To sek employment
Fortentable Leave
X Others ‘Special Privioue Leave
(Birthday Leave)
—__ sick 2
MATERNITY
6.3 NUMBER OF WORKING DAYS: 64 — CONmu
APPLIED FOR,
INCLUSIVE DA
7.1 CERTIFICATION OF LEAVE CREDITS: 7 RECOMMENDATION:
As of a
VACATION: TOTAL
7.3 APPROVED FOR 74
Days with pay
= Days without pay
= Others (Specify)