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Application For Leave: Authorized Official

This document contains two leave applications. The first is from Abigail Magdalena Dagdagan, an Administrative Aide VI at DENR-CENRO Kolambugan, requesting 1 day of sick leave from September 11, 2017. The second is from Darren Quijano Monreal, an EMS 1 also at DENR-CENRO Kolambugan, requesting 1 day of force leave from September 3, 2018. Both applications require review and approval by authorized officials.

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Cenro Kolambugan
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59 views

Application For Leave: Authorized Official

This document contains two leave applications. The first is from Abigail Magdalena Dagdagan, an Administrative Aide VI at DENR-CENRO Kolambugan, requesting 1 day of sick leave from September 11, 2017. The second is from Darren Quijano Monreal, an EMS 1 also at DENR-CENRO Kolambugan, requesting 1 day of force leave from September 3, 2018. Both applications require review and approval by authorized officials.

Uploaded by

Cenro Kolambugan
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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C.C Form No.

6
Revised 1984

APPLICATION FOR LEAVE


1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
DENR-CENRO Kolambugan DAGDAGAN ABAIGAIL MAGDALE
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
SEPTEMBER 12, 2017 ADMINISTRATIVE AIDE VI PHP 13,851.00
DETAILS OF APPLICATION 6.b WHERE LEAVE WILL BE SPENT
6.A TYPE OF LEAVE ( 1 ) IN CASE OF VACATION LEAVE

( ) Vacation ( ) Within the Philippines


( ) To seek employment ( ) Abroa̷̷
( ) Other (Specify) Sick Leave
( 2 ) IN CASE OF SICK LEAVE

6.c) NUMBER OF WORKING DAYS ( ) In hospital (specify)


APPLIED FOR: 1
( ) Patient (specify)
INCLUSIVE DATES 09/11/17

( ) Requested ( ) Not requested

(Signature of Applicant)

DETAILS OF ACTION ON APPLICATION


7.a) CERTIFICATION OF LEAVE CREDITS 6.d COMMUTATION
7.b RECOMMENDATIONS
As of
Vacation Sick Total ( ) Approval
( ) Disapproval due to
Days Days Days
ALICIA H. GEMENTIZA
ROCAYA U. SUMPINGAN Authorized Official
Personnel Officer

7.c) APPROVED FOR: 7.d DISAPPROVED DUE TO:


days with pay
days without pay
others (specify)

Signature

PACASUM P. MASCARA
(Authorized Official)

Date:
C.C Form No. 6
Revised 1984

APPLICATION FOR LEAVE


1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
DENR-CENRO Kolambugan MONREAL DARREN QUIJANO
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
September 4, 2018 EMS 1 Php20,179.00
DETAILS OF APPLICATION 6.b WHERE LEAVE WILL BE SPENT
6.A TYPE OF LEAVE ( 1 ) IN CASE OF VACATION LEAVE

( ) Vacation ( ) Within the Philippines


( ) To seek employment ( ) Abroad (specify)
Other (Specify) FORCE LEAVE
( 2 ) IN CASE OF SICK LEAVE

6.c) NUMBER OF WORKING DAYS ( ) In hospital (specify)


APPLIED FOR: 1
( ) Patient (specify)
INCLUSIVE DATES September 3, 2018

( ) Requested ( ) Not requested

(Signature of Applicant)

DETAILS OF ACTION ON APPLICATION


7.a) CERTIFICATION OF LEAVE CREDITS 6.d COMMUTATION
7.b RECOMMENDATIONS
As of
Vacation Sick Total ( ) Approval
( ) Disapproval due to
Days Days Days
ALICIA H. GEMENTIZA
HIDAYA MACAOMBAO Authorized Official
Personnel Officer

7.c) APPROVED FOR: 7.d DISAPPROVED DUE TO:


days with pay
days without pay
others (specify)

Signature

PACASUM P. MASCARA
(Authorized Official)

Date:

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