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Form 6

This document is a CS Form 6, which is an application for leave submitted to the Department of Education Region 02. It was submitted by Wendelin E. Acob, a Principal I at DepEd-Daragutan East NHS. The form requests one day of vacation leave on January 13, 2020 to attend to an urgent personal concern. It is signed by the applicant and contains spaces for recommendation and approval by the Human Resource Management Officer, Principal-in-Charge, and Schools Division Superintendent.

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hersal fae gerardo
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134 views

Form 6

This document is a CS Form 6, which is an application for leave submitted to the Department of Education Region 02. It was submitted by Wendelin E. Acob, a Principal I at DepEd-Daragutan East NHS. The form requests one day of vacation leave on January 13, 2020 to attend to an urgent personal concern. It is signed by the applicant and contains spaces for recommendation and approval by the Human Resource Management Officer, Principal-in-Charge, and Schools Division Superintendent.

Uploaded by

hersal fae gerardo
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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CS Form 6

Republic of the Philippines


Department of Education
Region 02(Cagayan Valley)
SCHOOLS DIVISION OFFICE OF ISABELA
Alibagu, City of Ilagan, Isabela 3300

APPLICATION FOR LEAVE


1. OFFICE/AGENCY 2. NAME (Last) (First) (M.I.)
DEPED - DARAGUTAN EAST NHS ACOB WENDELIN E.
3. Date of Filing 4. Position 5. Montly Salary
January 13, 2020 Principal I P 45,269.00
6a. TYPE OF LEAVE 6b. WHERE LEAVE BE SPENT

Vacation a. In case of vacation leave

To seek employment Within the Philippines

Sick Abroad (Specify) __________________

Maternity b. In case sick leave

X Others (Specify) : In Hospital (Specify)


Attend to urgent personal concern

6c. Number of Working Days Applied 6d. COMMUTATION

X Requested Not Requested


For ONE (1) day
Inclusive date(s) January 13, 2020

_______________________
Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7A. Certification of Leave Credits 7b. RECOMMENDATION

As DSO No. ________ _________ days Approval


________ _________ days
Vacation Leave ______ _________ days Disapproved due to
Sick Leave ________ _________ days
________________________________
_________ days used ________________________________
_________ Balance ________________________________

LOU JANE M. NICOLAS ROBERT M. GELACIO


Human Resource Management Officer I Principal In-charge
7c. APPROVED FOR: 7D. DISAPPROVED DUE TO:
___________ Days with pay
___________ Days without pay
___________ Others ( Specify)
_______________

MADELYN L. MACALLING PhD CESO VI


OIC, Schools Division Superintendent

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