leave forms dok
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Leave FormTRANSCRIPT
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CSC FORM NO. 6Revised 1984 APPLICATION FOR LEAVE
1. OFFICE/AGENCY
3. DATE OF FILING
2. NAME (Last) (First) (Middle Name)
4. POSITION 5. SALARY (Monthly)
6. DETAILS OF APPLICATION
6.a) TYPE OF LEAVE
Vacation
To seek employment
Others (Specity)
Sick
Maternity
Others (Specity)
6.c) NUMBER OF WORKING DAYS APPLIED ( )
INCLUSIVE DATES:
6. b) WHERE LEAVE WILL BE SPENT
(1) IN CASE OF VACATION LEAVE
Within the Philippines
Abroad (Specify)(2) IN CASE OF SICK LEAVE
In Hospital (Specify)
Out Patient (Specify)
6. d) COMMUTATION
Requested Not Requested
(Signature of Applicant)
7. DETAILS OF APPLICATIONACTION ON
7.b) RECOMMENDATION
Approval
Disapproval due to
(Authorized Official)
7.c) APPROVED FOR:
Days with pay
Days without pay
Others (Specify)
Date :
RONNEL C. RIVERACity Mayor
7.d) DISAPPROVED DUE TO:
By the Authority of the City Mayor:
Gabriel Francis Glenville N. GonzalezAsst. City Administrator-Administration
CMO-ICTD NARIDO MARK JUNNIES GAHOB
VACATION SICK TOTAL
LEAH Y. TOLIMAO CGDH II
7.a) CERTIFICATION OF LEAVE CREDITSAs of
CSC FORM NO. 6Revised 1984 APPLICATION FOR LEAVE
1. OFFICE/AGENCY
3. DATE OF FILING
2. NAME (Last) (First) (Middle Name)
4. POSITION 5. SALARY (Monthly)
6. DETAILS OF APPLICATION
6.a) TYPE OF LEAVE
Vacation
To seek employment
Others (Specity)
Sick
Maternity
Others (Specity)
6.c) NUMBER OF WORKING DAYS APPLIED ( )
INCLUSIVE DATES:
6. b) WHERE LEAVE WILL BE SPENT
(1) IN CASE OF VACATION LEAVE
Within the Philippines
Abroad (Specify)(2) IN CASE OF SICK LEAVE
In Hospital (Specify)
Out Patient (Specify)
6. d) COMMUTATION
Requested Not Requested
(Signature of Applicant)
7. DETAILS OF ACTION ON APPLICATION
7.b) RECOMMENDATION
Approval
Disapproval due to
(Authorized Official)
7.c) APPROVED FOR:
Days with pay
Days without pay
Others (Specify)
Date :
RONNEL C. RIVERACity Mayor
7.d) DISAPPROVED DUE TO:
By the Authority of the City Mayor:
Gabriel Francis Glenville N. GonzalezAsst. City Administrator-Administration
CMO-ICTD NARIDO MARK JUNNIES GAHOB
VACATION SICK TOTAL
LEAH Y. TOLIMAO CGDH II
7.a) CERTIFICATION OF LEAVE CREDITSAs of
1 Day 1 Day
1 Day 1 Day
July 07, 2015
07/07/2015 DATA CONTROLLER II 14, 939.00
07/07/2015 DATA CONTROLLER II 14, 939.00
July 07, 2015
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