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    Application For Leave: Division of Bukidnon

    Uploaded by

    cyril coscos
    This document is an application for leave form from the Department of Education Division of Bukidnon. It contains details about the employee such as name, position, salary, type of leave requested which is one day of sick leave from July 10, 2018. The form requires certification of leave credits available and space for the administrative officer and superintendent to approve or disapprove the application. Instructions at the bottom specify that applications for vacation or sick leave over one day must be filed in advance on this form and include a medical certificate for sick leave over five days.

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    © All Rights Reserved
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    Application For Leave: Division of Bukidnon

    Uploaded by

    cyril coscos
    176 views4 pages
    This document is an application for leave form from the Department of Education Division of Bukidnon. It contains details about the employee such as name, position, salary, type of leave requested which is one day of sick leave from July 10, 2018. The form requires certification of leave credits available and space for the administrative officer and superintendent to approve or disapprove the application. Instructions at the bottom specify that applications for vacation or sick leave over one day must be filed in advance on this form and include a medical certificate for sick leave over five days.

    Original Description:

    csc form 6

    Original Title

    CSC_FORM6

    Copyright

    © © All Rights Reserved

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    This document is an application for leave form from the Department of Education Division of Bukidnon. It contains details about the employee such as name, position, salary, type of leave requested which is one day of sick leave from July 10, 2018. The form requires certification of leave credits available and space for the administrative officer and superintendent to approve or disapprove the application. Instructions at the bottom specify that applications for vacation or sick leave over one day must be filed in advance on this form and include a medical certificate for sick leave over five days.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    176 views4 pages

    Application For Leave: Division of Bukidnon

    Uploaded by

    cyril coscos
    This document is an application for leave form from the Department of Education Division of Bukidnon. It contains details about the employee such as name, position, salary, type of leave requested which is one day of sick leave from July 10, 2018. The form requires certification of leave credits available and space for the administrative officer and superintendent to approve or disapprove the application. Instructions at the bottom specify that applications for vacation or sick leave over one day must be filed in advance on this form and include a medical certificate for sick leave over five days.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    DEPARTMENT OF EDUCATION

    Region X - Northern Mindanao


    DIVISION OF BUKIDNON
    Sumpong, Malaybalay City
    www.depedbukidnon.net.ph
    APPLICATION FOR LEAVE
    CSC Form 6
    (Revised 2015)
    1. Office/Agency Employee ID/Numbe
    DepED - Division of Bukidnon School/Office:
    District:
    Employee Contact Number:

    2. Name
    (Last Name) (First Name) (Middle Name)

    3. Date of Filing: 4. Position: TEACHER-1


    July 11, 2018 5. Monthly Salary: Php 19,159

    6. a. Type of Leave 6.b. Where leave will be spent in case of Vacation Leave?
    Vacation Leave
    To seek employment
    Forced Leave
    ü Sick Leave In case of Sick Leave, please specify the place of recover
    Maternity Leave
    Others (Please specify)

    Commutation Requested
    7. Number of working days applie 1 Not Requested
    Inclusive dates: July 10, 2018

    (Signature over Printed Name of Employee)

    (Signature over Printed Name of Immediate Head)

    DETAILS OF ACTION ON APPLICATION


    7. A. Certification of Leave Credits 7. B. Recommendation
    Vacation Leave Sick Leave Total Leave Vacation Leave Sick Leave Total Leav
    Credits Credits Credits Credits Credits Credits

    _________________________________
    Administrative Officer V
    7. C. APPROVED FOR: 7. D. DISAPPROVED due to:

    days with pay

    days without pay


    Schools Division Superintendent
    1. Application for vacation or sick leave for one full day or more shall be made on this form and to be accomplished in four copies.
    2. Application for vacation leave shall be filed in advance. In case of sick leave exceeding five days shall be accompanied with med
    3. An employee who is absent without approved leave shall not be entitled to receive his salary corresponding the period his auth
    Leave?

    recovery.

    tal Leave
    Credits

    due to:
    ur copies.
    with medical certificate.
    d his authorized leave of absence.

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