Application for Leave - Excel

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Application for Leave - Excel Powered By Docstoc
					     CSC Form No. 6
     Revised 1984                                      APPLICATION FOR LEAVE
1. OFFICE/AGENCY                                     2. NAME (Last)               (First)               (Middle)

3. DATE OF FILING                           4. POSITION                            5. SALARY

6.                                                     DETAILS OF APPLICATION

6.1 TYPE OF LEAVE                                                 6.2 WHERE LEAVE WILL BE SPENT:

           Vacation                                                        IN CASE OF VACATION LEAVE
                       To seek employment                                           Within the Philippines
                       Others (Specify)                                             Abroad (Specify)

           Sick                                                            IN CASE OF SICK LEAVE
                                                                                    In Hospital (Specify)
           Maternity                                                                Out Patient (Specify)

           Others (Specify)                                       6.4 COMMUTATION

6.2 NUMBER OF WORKING DAYS APPLIED FOR                                               Not Requested
                                                                                     Requested
     INCLUSIVE DATES

                                                                                     (Signature of Applicant)
7.                                              DETAILS OF ACTION APPLICATION
7.1 CERTIFICATION OF LEAVE CREDITS                                7.2 RECOMMENDATION

           As of                                                                     Approval
                       Vacation      Sick      Total                                 Disapproval due to

                         Days       Days       Days




             Human Resource Management Officer III                                     (Authorized Officer)
7.3 APPROVED FOR:                                                 7.4 DISAPPROVED DUE TO:

                                  days with pay
                                  days without pay
                                  others (Specify)



                                                             (Signature)
(Authorized Official)
R LEAVE
First)               (Middle)




 WILL BE SPENT:

OF VACATION LEAVE
 Within the Philippines
 Abroad (Specify)

OF SICK LEAVE
 In Hospital (Specify)
 Out Patient (Specify)




  Not Requested




  (Signature of Applicant)




  Disapproval due to




    (Authorized Officer)

				
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