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    CS Form No. 6 Revised 2020 More Than 60 Days

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    Ma Ann Jubay Limbaga-Basalo
    This document is a civil service form for applying for leave from the Department of Education in the Philippines. It requests information such as the applicant's name, position, salary, type of leave being applied for, number of working days, and certification of available leave credits. The form is to be filled out by the applicant and includes sections for recommendation by the immediate head and approval or disapproval by an authorized official.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CS Form No. 6 Revised 2020 More Than 60 Days

    Uploaded by

    Ma Ann Jubay Limbaga-Basalo
    222 views1 page
    This document is a civil service form for applying for leave from the Department of Education in the Philippines. It requests information such as the applicant's name, position, salary, type of leave being applied for, number of working days, and certification of available leave credits. The form is to be filled out by the applicant and includes sections for recommendation by the immediate head and approval or disapproval by an authorized official.

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    CS-Form-No.-6-Revised-2020-more-than-60-days

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    This document is a civil service form for applying for leave from the Department of Education in the Philippines. It requests information such as the applicant's name, position, salary, type of leave being applied for, number of working days, and certification of available leave credits. The form is to be filled out by the applicant and includes sections for recommendation by the immediate head and approval or disapproval by an authorized official.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    222 views1 page

    CS Form No. 6 Revised 2020 More Than 60 Days

    Uploaded by

    Ma Ann Jubay Limbaga-Basalo
    This document is a civil service form for applying for leave from the Department of Education in the Philippines. It requests information such as the applicant's name, position, salary, type of leave being applied for, number of working days, and certification of available leave credits. The form is to be filled out by the applicant and includes sections for recommendation by the immediate head and approval or disapproval by an authorized official.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Civil Service Form No.

    6
    Revised 2020
    Annex A-1
    Republic of the Philippines
    Department of Education Stamp of Date of
    SCHOOLS DIVISION OF LANAO DEL NORTE
    Pigcarangan Tubod Lanao del Norte

    APPLICATION FOR LEAVE


    1. OFFICE/DEPARTMENT 2. NAME : (Last) (First) (Middle)

    3. DATE OF FILING ______________ 4. POSITION _____________________________ 5. SALARY _______________

    6. DETAILS OF APPLICATION
    6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE

    Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E.O. No. 292) In case of Vacation/Special Privilege Leave:
    Mandatory/Forced Leave(Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Within the Philippines __________________________
    Sick Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Abroad (Specify) _____________________________
    Maternity Leave (R.A. No. 11210 / IRR issued by CSC, DOLE and SSS) In case of Sick Leave:
    Paternity Leave (R.A. No. 8187 / CSC MC No. 71, s. 1998, as amended) In Hospital (Specify Illness) _____________________
    Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Out Patient (Specify Illness) ____________________
    Solo Parent Leave (RA No. 8972 / CSC MC No. 8, s. 2004) _____________________________________________
    Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No. 292) In case of Special Leave Benefits for Women:
    10-Day VAWC Leave (RA No. 9262 / CSC MC No. 15, s. 2005) (Specify Illness) ________________________________
    Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292) _____________________________________________
    Special Leave Benefits for Women (RA No. 9710 / CSC MC No. 25, s. 2010) In case of Study Leave:
    Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, as amended) Completion of Master's Degree
    Adoption Leave (R.A. No. 8552) BAR/Board Examination Review
    Other purpose:
    Others: Monetization of Leave Credits
    _____________________________________ Terminal Leave

    6.C NUMBER OF WORKING DAYS APPLIED FOR 6.D COMMUTATION


    ________________________________________ Not Requested
    INCLUSIVE DATES Requested
    ________________________________________
    (Signature of Applicant)

    7. DETAILS OF ACTION ON APPLICATION


    7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION
    As of _______________________ For approval
    Vacation Leave Sick Leave For disapproval due to ________________________
    Total Earned ___________________________________________
    Less this application ___________________________________________
    Balance ___________________________________________

    WARNIE B. EDREA
    ___________________________________________
    (Authorized Officer) (Immediate Head)

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


    _______ days with pay _______________________________________
    _______ days without pay ___________________________________________
    _______ others (Specify) ___________________________________________

    EDILBERTO L. OPLENARIA, CESO V


    _________________________________
    (Authorized Official)

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