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Application For Leave Form New

Melanie Lopez, the Barangay Treasurer of Awi, is applying for 3 days of vacation leave from February 16-18, 2022. She is requesting the leave to be spent within the Philippines. The Barangay Secretary, Khristina Del Valle, certified that Lopez has enough leave credits for the vacation days applied for. The Punong Barangay, Paz Pacao, recommended approval of Lopez's leave application. Myrna Guevarra, a Barangay Health Worker from Awitan, applied for 6 days of vacation leave. She is requesting for the leave to be spent within the Philippines as well. The Barangay Secretary, Jackie Pasatiempo, certified

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655 views3 pages

Application For Leave Form New

Melanie Lopez, the Barangay Treasurer of Awi, is applying for 3 days of vacation leave from February 16-18, 2022. She is requesting the leave to be spent within the Philippines. The Barangay Secretary, Khristina Del Valle, certified that Lopez has enough leave credits for the vacation days applied for. The Punong Barangay, Paz Pacao, recommended approval of Lopez's leave application. Myrna Guevarra, a Barangay Health Worker from Awitan, applied for 6 days of vacation leave. She is requesting for the leave to be spent within the Philippines as well. The Barangay Secretary, Jackie Pasatiempo, certified

Uploaded by

cnp20eleven
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

APPLICATION FOR LEAVE FORM

Barangay Name (Last) (First) (Middle)


Awi Nieva Melanie Lopez
Date of Filing Position Honorarium (monthly)
February 15, 2022 Barangay Treasurer P 9,600
DETAILS OF APPLICATION

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT


_____ VACATION LEAVE IN CASE OF VACATION LEAVE
_____ SICK
_______ To seek Employment _____ Within the Philippines
_______ Others (specify) _______ Abroad (specify)

NUMBER OF WORKING DAYS APPLIED IN CASE OF SICK LEAVE


__3__ working days ____ In hospital (specify) at home.
_______________________________________ ______________________________________
_ ___

INCLUSIVE DATES _______ Out Patient


February 16-18, 2022
_______________________________________ (specify)____________
___ ______________________________________
_______________________________________ ___
___
COMMUTATION

_______ Requested _______ Not


Requested

_______________________
Signature of Applicant
DETAILS OF ACTION OF APPLICATION

CERTIFICATION OF LEAVE CREDIT RECOMMENDATION

As of _______ Approval
_____________________________________ _______ Disapproval due to
_____________
Vacation Sick Total
________ ________ ________ _____________________________

KHRISTINA D. DEL VALLE _____________________________


Barangay Secretary
PAZ M. PACAO
Punong Barangay
APPLICATION FOR LEAVE FORM

Barangay Name (Last) (First) (Middle)


Awitan Reynaldo Myrna Guevarra
Date of Filing Position Honorarium (monthly)
July 5, 2022 Barangay Health Worker P 1,100.00
DETAILS OF APPLICATION

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT


____
 VACATION LEAVE IN CASE OF VACATION LEAVE
_____ To seek Employment
_____ Sick Leave _______ Within the Philippines
_____ Others (specify) _______ Abroad (specify)

IN CASE OF SICK LEAVE


NUMBER OF WORKING DAYS APPLIED ______ At home.
6 working days ____________________________________
_______________________________________
_______ Out Patient
INCLUSIVE DATES (specify)____________
__________________________________________ ____________________________________
_______________________________________
COMMUTATION

_______ Requested _______ Not


Requested

_______________________
Signature of Applicant
DETAILS OF ACTION OF APPLICATION

CERTIFICATION OF LEAVE CREDIT RECOMMENDATIONS

As of _______ Approval
_____________________________________ _______ Disapproval due to
_____________
Vacation Sick Total
________ ________ ________ _____________________________

Jackie C. Pasatiempo _____________________________


Barangay Secretary
MELIANDRO A. EBOÑA
Punong Barangay

APPROVED FOR DISAPPROVED DUE TO:

_______ days with pay __________________________________


_______ days without pay __________________________________
_______ others (specify) __________________________________
MELIANDRO A. EBOÑA
Punong Barangay

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