Scribd Logo
Upload

Welcome to Scribd!

  • 6 views

    Omar Form6 Teaching Personnel r.2020

    Uploaded by

    Katherine Hinampas Benigno
    The document is an application for leave form from the Department of Education in the Philippines. It requests information such as the applicant's name, position, type of leave being applied for including vacation leave, sick leave, and others. It provides spaces for the number of working days applied for, certification of leave credits, and approval or disapproval of the application.

    Copyright:

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

    Omar Form6 Teaching Personnel r.2020

    Uploaded by

    Katherine Hinampas Benigno
    6 views1 page
    The document is an application for leave form from the Department of Education in the Philippines. It requests information such as the applicant's name, position, type of leave being applied for including vacation leave, sick leave, and others. It provides spaces for the number of working days applied for, certification of leave credits, and approval or disapproval of the application.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document is an application for leave form from the Department of Education in the Philippines. It requests information such as the applicant's name, position, type of leave being applied for including vacation leave, sick leave, and others. It provides spaces for the number of working days applied for, certification of leave credits, and approval or disapproval of the application.

    Copyright:

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

    Omar Form6 Teaching Personnel r.2020

    Uploaded by

    Katherine Hinampas Benigno
    The document is an application for leave form from the Department of Education in the Philippines. It requests information such as the applicant's name, position, type of leave being applied for including vacation leave, sick leave, and others. It provides spaces for the number of working days applied for, certification of leave credits, and approval or disapproval of the application.

    Copyright:

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

    Civil Service Form No.

    6 ANNEX A
    Revised 2020

    Republic of the Philippines


    Department of Education
    REGION X - NORTHERN MINDANAO
    DIVISION OF MALAYBALAY CITY

    APPLICATION FOR LEAVE


    1. SCHOOL 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 ___________________________________________

    GUIA MA. G. VILLAHERMOSA ___________________________________________


    Administrative Officer IV Authorized Officer
    7.C APPROVED FOR: 7.D DISAPPROVED DUE TO:
    _______ days with pay _______________________________________
    _______ days without pay ___________________________________________
    _______ others (Specify) ___________________________________________

    ALIENA S. DAJAY, PhD, CESE


    _________________________________
    Asst. Schools Division Superintendent

    Address: Sayre Hi-way, Purok 6, Casisang, Malaybalay City


    Telefax No.: 088-314-0094; Telephone No.: 088-813-1246
    Email Address: malaybalay.city@deped.gov.ph

    You might also like