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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)

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