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Form 6: Application For Leave

The document is an application for leave form from Domingo Lacson National High School. It contains information about the applicant such as their name, position, and salary. It also includes details about the type of leave being applied for, the number of days, and dates. The form is to be filled out and signed by the applicant and contains sections for recommending approval, certifying leave credits, and approving the application.

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Tina Marie Tiongco
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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112 views7 pages

Form 6: Application For Leave

The document is an application for leave form from Domingo Lacson National High School. It contains information about the applicant such as their name, position, and salary. It also includes details about the type of leave being applied for, the number of days, and dates. The form is to be filled out and signed by the applicant and contains sections for recommending approval, certifying leave credits, and approving the application.

Uploaded by

Tina Marie Tiongco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Republic of the Philippines T

Department of Education
Region VI - Western Visayas

H
I
1964
DIVISION OF BACOLOD CITY L O

DOMINGO LACSON NATIONAL HIGH SCHOOOL


Bacolod City
FORM 6
APPLICATION FOR LEAVE
(31 Days & Up)

1) OFFICE/AGENCY 2) NAME: (LAST) FIRST MI


DLNHS-SHS MORENO MA. KRISTINE LOVE Q.
3) DATE OF FILLING 4) POSITION 5) SALARY (MONTHLY)
TEACHER II 24,495.00
DETAIL OF APPLICATION
6. A TYPE OF LEAVE 6. WHERE LEAVE WILL BE SPENT
VACATION TO SEEK EMPLOYMENT 1. IN CASE OF VACATION LEAVE
SICK OTHER (SPECIFY) WITHIN THE PHILIPPINES
SPECIAL LEAVE FOR WOMEN ABROAD (SPECIFY)

6. C NO. OF WORKING DAYS APPLIED:_____________ 2. IN CASE OF SICK LEAVE


INCLUSIVE DATES:________________________ IN HOSPITAL (SPECIFY)
OUT PATIENT (SPECIFY)

6. D COMPUTATION
REQUESTED NOT REQUESTED

APPLICANT'S SIGNATURE OVER PRINTED NAME

DETAIL OF ACTION ON APPLICATION


7. A CERTIFICATION OF LEAVE CREDIT/S 7. B RECOMMENDATION
AS OF _______________________ _________ APPROVAL
_________ DISAPPROVAL DUE TO

NO OF LEAVE CRIDETS VACATION SICK TOTAL


LESS:
THIS LEAVE OF ABSENCE
BALANCE
Recommending Approval:

JOSIE D. SEVA JOSETTE S. TERRORA


Administraive Officer IV Principal IV
(Signature over printed name)

7. C APRROVED FOR: 7. D DISAPPROVED DUE TO:


________DAYS WITH PAY
________DAYS WITHOUT PAY ___________________________________
________OTHERS (SPECIFY)

APPROVED:

GLADYS AMYLAINE D. SALES


Assistant Schools Division Superintendent
Officer-In-Charge
Office of the Schools Division Superintendent
Republic of the Philippines T

Department of Education
Region VI - Western Visayas

H
I
1964
DIVISION OF BACOLOD CITY L O

DOMINGO LACSON NATIONAL HIGH SCHOOOL


Bacolod City
FORM 6
APPLICATION FOR LEAVE
(31 Days & Up)

1) OFFICE/AGENCY 2) NAME: (LAST) FIRST MI


DLNHS GENTEROLES FELY G.
3) DATE OF FILLING 4) POSITION 5) SALARY (MONTHLY)
TEACHER II
DETAIL OF APPLICATION
6. A TYPE OF LEAVE 6. WHERE LEAVE WILL BE SPENT
VACATION TO SEEK EMPLOYMENT 1. IN CASE OF VACATION LEAVE
SICK OTHER (SPECIFY) WITHIN THE PHILIPPINES
SPECIAL LEAVE FOR WOMEN ABROAD (SPECIFY)

6. C NO. OF WORKING DAYS APPLIED:_____________ 2. IN CASE OF SICK LEAVE


INCLUSIVE DATES:________________________ IN HOSPITAL (SPECIFY)
OUT PATIENT (SPECIFY)

6. D COMPUTATION
REQUESTED NOT REQUESTED

APPLICANT'S SIGNATURE OVER PRINTED NAME

DETAIL OF ACTION ON APPLICATION


7. A CERTIFICATION OF LEAVE CREDIT/S 7. B RECOMMENDATION
AS OF _______________________ _________ APPROVAL
_________ DISAPPROVAL DUE TO

NO OF LEAVE CRIDETS VACATION SICK TOTAL


LESS:
THIS LEAVE OF ABSENCE
BALANCE
Recommending Approval:

JOSIE D. SEVA JOSETTE S. TERRORA


Administraive Officer IV Principal iv
(Signature over printed name)

7. C APRROVED FOR: 7. D DISAPPROVED DUE TO:


________DAYS WITH PAY
________DAYS WITHOUT PAY ___________________________________
________OTHERS (SPECIFY)

APPROVED:

GLADYS AMYLAINE D. SALES


Assistant Schools Division Superintendent
Officer-In-Charge
Office of the Schools Division Superintendent
Republic of the Philippines T

Department of Education
Region VI - Western Visayas 1964

DIVISION OF BACOLOD CITY O

DOMINGO LACSON NATIONAL HIGH SCHOOOL


Bacolod City
FORM 6
APPLICATION FOR LEAVE
(30 Days & below)
1) OFFICE/AGENCY 2) NAME: (LAST) FIRST MI
DOMINGO LACSON NHS SUBONG JUNARD C.
3) DATE OF FILLING 4) POSITION 5) SALARY (MONTHLY)
9-May-19 ADA 4 13,214.00
DETAIL OF APPLICATION
6. A TYPE OF LEAVE 6. WHERE LEAVE WILL BE SPENT
VACATION TO SEEK EMPLOYMENT 1. IN CASE OF VACATION LEAVE
SICK OTHER (SPECIFY) WITHIN THE PHILIPPINES
ABROAD (SPECIFY)

6. C NO. OF WORKING DAYS APPLIED: _________________


2 days 2. IN CASE OF SICK LEAVE
May 6, 8 (pm) and 10 (pm), 2019
INCLUSIVE DATES: _________________________ IN HOSPITAL (SPECIFY)
OUT PATIENT (SPECIFY)

6. D COMPUTATION
REQUESTED NOT REQUESTED

APPLICANT'S SIGNATURE OVER PRINTED NAME

DETAIL OF ACTION ON APPLICATION

7. A CERTIFICATION OF LEAVE CREDIT/S 7. B RECOMMENDATION


AS OF _______________________ __________ APPROVAL
__________ DISAPPROVAL DUE TO

NO OF LEAVE CRIDETS VACATION SICK TOTAL


LESS:
THIS LEAVE OF ABSENCE
BALANCE
Recommending Approval:

JOSIE D. SEVA JOSETTE S. TERRORA


Administraive Officer IV Principal IV
(Signature over printed name)

7. C APRROVED FOR: 7. D DISAPPROVED DUE TO:


________DAYS WITH PAY
________DAYS WITHOUT PAY ___________________________________
________OTHERS (SPECIFY)

ESTHER P. ALFARAZ
Administrative Officer V
Republic of the Philippines T

Department of Education
Region VI - Western Visayas 1964

DIVISION OF BACOLOD CITY O

DOMINGO LACSON NATIONAL HIGH SCHOOOL


Bacolod City
FORM 6
APPLICATION FOR LEAVE
(30 Days & below)
1) OFFICE/AGENCY 2) NAME: (LAST) FIRST MI
DOMINGO LACSON NHS SUBONG JUANITO B.
3) DATE OF FILLING 4) POSITION 5) SALARY (MONTHLY)
SECURITY GUARD I P 12,110.00
DETAIL OF APPLICATION
6. A TYPE OF LEAVE 6. WHERE LEAVE WILL BE SPENT
VACATION TO SEEK EMPLOYMENT 1. IN CASE OF VACATION LEAVE
SICK OTHER (SPECIFY) WITHIN THE PHILIPPINES
ABROAD (SPECIFY)

6. C NO. OF WORKING DAYS APPLIED: _________________ 2. IN CASE OF SICK LEAVE


INCLUSIVE DATES: _________________________ IN HOSPITAL (SPECIFY)
OUT PATIENT (SPECIFY)

6. D COMPUTATION
REQUESTED NOT REQUESTED
JUANITO B. SUBONG
APPLICANT'S SIGNATURE OVER PRINTED NAME

DETAIL OF ACTION ON APPLICATION

7. A CERTIFICATION OF LEAVE CREDIT/S 7. B RECOMMENDATION


AS OF _______________________ __________ APPROVAL
__________ DISAPPROVAL DUE TO

NO OF LEAVE CRIDETS VACATION SICK TOTAL


LESS:
THIS LEAVE OF ABSENCE
BALANCE
Recommending Approval:

JOSIE D. SEVA JOSETTE S. TERRORA


Administraive Officer IV Principal IV
(Signature over printed name)

7. C APRROVED FOR: 7. D DISAPPROVED DUE TO:


________DAYS WITH PAY
________DAYS WITHOUT PAY ___________________________________
________OTHERS (SPECIFY)

APPROVED:

CYNTHIA G. DEMAVIVAS, CESO V


Schools Division Superintendent
Republic of the Philippines T

Department of Education
Region VI - Western Visayas 1964

DIVISION OF BACOLOD CITY O

DOMINGO LACSON NATIONAL HIGH SCHOOOL


Bacolod City
FORM 6
APPLICATION FOR LEAVE
(30 Days & below)
1) OFFICE/AGENCY 2) NAME: (LAST) FIRST MI
DOMINGO LACSON NHS TERRORA JOSETTE S.
3) DATE OF FILLING 4) POSITION 5) SALARY (MONTHLY)
2-Jul-19 PRINCIPAL I V 65,319.00
DETAIL OF APPLICATION
6. A TYPE OF LEAVE 6. WHERE LEAVE WILL BE SPENT
VACATION TO SEEK EMPLOYMENT 1. IN CASE OF VACATION LEAVE
SICK x OTHER (SPECIFY) WITHIN THE PHILIPPINES
Birthday Leave ABROAD (SPECIFY)

6. C NO. OF WORKING DAYS APPLIED: _________________ 2. IN CASE OF SICK LEAVE


INCLUSIVE DATES: _________________________
5-Jul-19 IN HOSPITAL (SPECIFY)
OUT PATIENT (SPECIFY)

6. D COMPUTATION
REQUESTED NOT REQUESTED
JOSETTE S. TERRORA
APPLICANT'S SIGNATURE OVER PRINTED NAME

DETAIL OF ACTION ON APPLICATION

7. A CERTIFICATION OF LEAVE CREDIT/S 7. B RECOMMENDATION


AS OF _______________________ __________ APPROVAL
__________ DISAPPROVAL DUE TO

NO OF LEAVE CRIDETS VACATION SICK TOTAL


LESS:
THIS LEAVE OF ABSENCE
BALANCE
Recommending Approval:

JOSIE D. SEVA RONNIE T. TABABA, PhD


Administraive Officer IV PSDS I
(Signature over printed name)

7. C APRROVED FOR: 7. D DISAPPROVED DUE TO:


________DAYS WITH PAY
________DAYS WITHOUT PAY ___________________________________
________OTHERS (SPECIFY)

ESTHER P. ALFARAZ
Administrative Officer V
Republic of the Philippines T

Department of Education
Region VI - Western Visayas 1964

DIVISION OF BACOLOD CITY O

DOMINGO LACSON NATIONAL HIGH SCHOOOL


Bacolod City
FORM 6
APPLICATION FOR LEAVE
(30 Days & below)
1) OFFICE/AGENCY 2) NAME: (LAST) FIRST MI
DOMINGO LACSON NHS SUBONG JUNARD C.
3) DATE OF FILLING 4) POSITION 5) SALARY (MONTHLY)
3-Apr-19 ADA 4 13,214.00
DETAIL OF APPLICATION
6. A TYPE OF LEAVE 6. WHERE LEAVE WILL BE SPENT
VACATION TO SEEK EMPLOYMENT 1. IN CASE OF VACATION LEAVE
SICK OTHER (SPECIFY) WITHIN THE PHILIPPINES
SPECIAL LEAVE (RECOGNITION & GRADUATION) ABROAD (SPECIFY)

6. C NO. OF WORKING DAYS APPLIED: _________________


2 DAYS 2. IN CASE OF SICK LEAVE
April 2 and 4, 2019
INCLUSIVE DATES: _________________________ IN HOSPITAL (SPECIFY)
OUT PATIENT (SPECIFY)

6. D COMPUTATION
REQUESTED NOT REQUESTED

APPLICANT'S SIGNATURE OVER PRINTED NAME

DETAIL OF ACTION ON APPLICATION

7. A CERTIFICATION OF LEAVE CREDIT/S 7. B RECOMMENDATION


AS OF _______________________ __________ APPROVAL
__________ DISAPPROVAL DUE TO

NO OF LEAVE CRIDETS VACATION SICK TOTAL


LESS:
THIS LEAVE OF ABSENCE
BALANCE
Recommending Approval:

JOSIE D. SEVA JOSETTE S. TERRORA


Administraive Officer IV Principal IV
(Signature over printed name)

7. C APRROVED FOR: 7. D DISAPPROVED DUE TO:


________DAYS WITH PAY
________DAYS WITHOUT PAY ___________________________________
________OTHERS (SPECIFY)

ESTHER P. ALFARAZ
Administrative Officer V
Republic of the Philippines T

Department of Education
Region VI - Western Visayas

H
I
1964
DIVISION OF BACOLOD CITY L O

DOMINGO LACSON NATIONAL HIGH SCHOOOL


Bacolod City
FORM 6
APPLICATION FOR LEAVE
(31 Days & Up)

1) OFFICE/AGENCY 2) NAME: (LAST) FIRST MI


MUPRA CORAZON S.
3) DATE OF FILLING 4) POSITION 5) SALARY (MONTHLY)
GUIDANCE COUNSELOR 3 27503.00
DETAIL OF APPLICATION
6. A TYPE OF LEAVE 6. WHERE LEAVE WILL BE SPENT
VACATION TO SEEK EMPLOYMENT 1. IN CASE OF VACATION LEAVE
SICK OTHER (SPECIFY) WITHIN THE PHILIPPINES
TERMINAL LEAVE ABROAD (SPECIFY)

6. C NO. OF WORKING DAYS APPLIED:_____________ 2. IN CASE OF SICK LEAVE


INCLUSIVE DATES:________________________ IN HOSPITAL (SPECIFY)
OUT PATIENT (SPECIFY)

6. D COMPUTATION
REQUESTED NOT REQUESTED

APPLICANT'S SIGNATURE OVER PRINTED NAME

DETAIL OF ACTION ON APPLICATION


7. A CERTIFICATION OF LEAVE CREDIT/S 7. B RECOMMENDATION
AS OF _______________________ _________ APPROVAL
_________ DISAPPROVAL DUE TO

NO OF LEAVE CRIDETS VACATION SICK TOTAL


LESS:
THIS LEAVE OF ABSENCE
BALANCE
Recommending Approval:

JOSIE D. SEVA JOSETTE S. TERRORA


Administraive Officer IV Principal iv
(Signature over printed name)

7. C APRROVED FOR: 7. D DISAPPROVED DUE TO:


________DAYS WITH PAY
________DAYS WITHOUT PAY ___________________________________
________OTHERS (SPECIFY)

APPROVED:

GLADYS AMYLAINE D. SALES


Assistant Schools Division Superintendent
Officer-In-Charge
Office of the Schools Division Superintendent

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