APPLICATION FOR LEAVE
1. OFFICE/AGENCY 2. NAME: (Surname) (First Name) (Middle Name)
LGU – TALIBON VALMORIA, TEODULA CAMARGO ________
3. DATE OF FILING: 4. POSITION: 5. BASIC SALARY:
FEB.16,2021 Utility Worker I _______
DETAILS OF APPLICATION
6A) TYPE OF LEAVE 6B). WHERE LEAVE WILL BE SPENT
VACATION: 1. In case of vacation leave
To seek employment In the Philippines (specify):
Other (specify): Abroad (specify):
SICK: 2. In case of sick leave
Maternity In hospital (specify):
Paternity Outpatient (specify):
Other (specify):
X OTHER (specify): MONETIZATION (Special,Monetization, Terminal, etc.)
6C). NUMBER OF WORKING 6D). COMMUTATION
DAYS APPLIED FOR: Three (3) day
Requested Not requested
INCLUSIVE DATES: FEBRUARY 16,2021 ________
_ _____________
(Signature of Applicant)
DETAILS OF ACTION OF APPLICATION
7A). CERTIFICATION OF LEAVE SCHEDULE 7B). RECOMMENDATION
AS OF
Approved
Vacation Sick Total
Disapproved due to
Days Days Days
FALCONIRIS A. LUGASIP
Dept. Head / Direct Supervisor
SARAH JANE R. HENSON
HRMO – V
Days with pay JANETTE A. GARCIA,LLB
Days without pay Municipal Mayor
Others (specify)
By authority of the Municipal Mayor:
VERGEL ZAREL E. BOYLES
Mun. Administrator
APPLICATION FOR LEAVE
1. OFFICE/AGENCY 2. NAME: (Surname) (First Name) (Middle Name)
LGU – TALIBON LUGASIP, FALCONIRIS AUTIDA _________
3. DATE OF FILING: 4. POSITION: 5. BASIC SALARY:
December 7,2020 Municipal Budget Officer _____ _______
DETAILS OF APPLICATION
6A) TYPE OF LEAVE 6B). WHERE LEAVE WILL BE SPENT
VACATION: 1. In case of vacation leave
To seek employment In the Philippines (specify):
Other (specify): Abroad (specify):
SICK: 2. In case of sick leave
Maternity In hospital (specify):
Paternity Outpatient (specify):
OTHER (specify): CNA Leave
(Special, Monetization, Terminal, etc.)
6C). NUMBER OF WORKING 6D). COMMUTATION
DAYS APPLIED FOR: One (1) day
Requested Not requested
INCLUSIVE DATE: December 28,2020 _
_ _____________
(Signature of Applicant)
DETAILS OF ACTION OF APPLICATION
7A). CERTIFICATION OF LEAVE SCHEDULE 7B). RECOMMENDATION
AS OF
Approved
Vacation Sick Total
Disapproved due to
Days Days Days
HON. JANETTE A. GARCIA,LLB
Dept. Head / Direct Supervisor
SARAH JANE R. HENSON
HRMO – V
Days with pay JANETTE A. GARCIA,LLB
Days without pay Municipal Mayor
Others (specify)
By authority of the Municipal Mayor:
VERGEL ZAREL E. BOYLES
Mun. Administrator
APPLICATION FOR LEAVE
1. OFFICE/AGENCY 2. NAME: (Surname) (First Name) (Middle Name)
LGU – TALIBON MACALISANG, ROY JOSEPH QUIZA ________
3. DATE OF FILING: 4. POSITION: 5. BASIC SALARY:
April 5,2021 Casual Plantilla _______
DETAILS OF APPLICATION
6A) TYPE OF LEAVE 6B). WHERE LEAVE WILL BE SPENT
VACATION: 1. In case of vacation leave
To seek employment In the Philippines (specify):
Other (specify): Abroad (specify):
SICK: 2. In case of sick leave
Maternity In hospital (specify):
Paternity Outpatient (specify):
Other (specify):
X OTHER (specify) Monetization ____
(Special, Monetization, Terminal, etc.)
6C). NUMBER OF WORKING 6D). COMMUTATION
DAYS APPLIED FOR: Twenty Five (25) days
Requested Not requested
INCLUSIVE DATES: ____ ____
_ _____________
(Signature of Applicant)
DETAILS OF ACTION OF APPLICATION
7A). CERTIFICATION OF LEAVE SCHEDULE 7B). RECOMMENDATION
AS OF
Approved
Vacation Sick Total
Disapproved due to
Days Days Days
FALCONIRIS A. LUGASIP
Department Head
SARAH JANE R. HENSON
HRMO – V
Days with pay JANETTE A. GARCIA,LLB
Days without pay Municipal Mayor
Others (specify)
By authority of the Municipal Mayor:
VERGEL ZAREL E. BOYLES
Mun. Administrator
November 8, 2023
Hon. Janette A. Garcia, LLB
Municipal Mayor
Talibon Bohol
Dear Mayor Garcia,
Please allow me to monetize Ten (10) days of my leave credits in accordance to the provision
of Sec. 23 of the Omnibus Rules on leave issued by the Civil Service Commission. Proceeds of this
will be for financial and other obligation.
Very Truly Yours,
JOEREN B. EVARDONE
CASUAL PLANTILLA
Approved:
JANETTE A. GARCIA, LLB
Municipal Mayor
