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Leave Application Form Template

1) An employee named [name] applied for leave from their position with a monthly salary. 2) They applied for [type] leave for [number] working days to be spent [where]. 3) Their leave credits as of [date] included [amount] days of vacation leave and [amount] days of sick leave for a total of [amount] days.

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Quennie
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8 views1 page

Leave Application Form Template

1) An employee named [name] applied for leave from their position with a monthly salary. 2) They applied for [type] leave for [number] working days to be spent [where]. 3) Their leave credits as of [date] included [amount] days of vacation leave and [amount] days of sick leave for a total of [amount] days.

Uploaded by

Quennie
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

APPLICATION FOR LEAVE

CSC Form No 6
Revised 1984

OFFICE/AGENCY

Name

(Last)

(Date of Filling)

(First)

POSITION

(Middle)
SALARY (MONTHLY)

DETAILS OF APPLICATION

a.) TYPE OF LEAVE


Vacation
To seek employment
Other (Specify) __________________
____________________________________

b.) Where Leave will be spent

Sick Leave
Maternity Leave
Other (Specify) ____________________
____________________________________
c.) Number of Working Days applied for:

In case of Sick Leave


In the Hospital (Specify) _____________
_________________________________
d.) Computation
Requested
Not Requested

Within the Philippines


Abroad (Specify) ___________________
_________________________________

Signature of Applicant

DETAILS OF APPLICATION
a.) Certification of Leave Credits

c.) Recommendation

As of ______________________________
____________________________________
Vacation

Days

Sick

Days

Approval
Disapproval due to _____________
Total

Days

____________________________________
Personal Officer
b.) Approved for:
__________ days with pay
__________ days without pay
__________other Specify

Noted by:
NATIVIDAD S. ALEJANDRO
Teacher-in-Charge

Approved:

By Authority of Schools
Division Superintendent
NYMPHIA GUEMO
Assistant Schools Division Superintendent

Authorized Official
d.) Disapproval due to ______________________
_________________________________________
_________________________________________

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