CSC Form 6

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CSC FORM 6

Revised 1984
APPLICATION FOR LEAVE

1 OFFICE/AGENCY 2 NAME (Last) (First) (Middle)


Parole and Probation Admin. - Benguet ABROGENA JOSIELYNE G.
3 DATE OF FILING POSITION 5 SALARY (Monthly)
DECEMBER 11, 2015 AAIV
DETAILS OF APPLICATION
6-a) TYPE OF LEAVE 6-b) WHERE LEAVE WILL BE SPENT:
xxx Vacation/Forced Leave
Sick Leave (1) IN CASE OF VACATION LEAVE
Special Privilege Leave xxx Within the Philippines
Solo Parent Leave Abroad (specify)
Rehabilitation Leave
Terminal Leave
Maternity/Paternity Leave (2) IN CASE OF SICK LEAVE
Monetization of Leave Credits In Hospital (specify)
Special Leave for Women Out Patient (specify)

c) NUMBER OF WORKING DAYS d) COMMUTATION


APPLIED FOR:
XX Requested Not Requested
ONE (1) DAY

INCLUSIVE DATES:
SIGNATURE:
DECEMBER 18, 2015

DETAILS OF ACTION ON APPLICATION

7-a) CERTIFICATION OF LEAVE 7-b) RECOMMENDATION


CREDITS AS OF:
XX Approval
VACATION SICK TOTAL
Disapproved due to
DAYS DAYS DAYS

Recommending Approval:

MARIA GRACE D. DELOS REYES HELEN F. MONTA


Acting Administrative Officer IV Chief Probation and Parole Officer

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

days with pay


days without pay
others (specify)

DIR. ANGELITO A. ILANO, CESO VI


Regional Director

DATE:
CSC FORM 6
Revised 1984
APPLICATION FOR LEAVE

1 OFFICE/AGENCY 2 NAME (Last) (First) (Middle)


Parole and Probation Admin. - Benguet ABROGENA JOSIELYNE G.
3 DATE OF FILING POSITION 5 SALARY (Monthly)
MARCH 21, 2017 AAIV
DETAILS OF APPLICATION
6-a) TYPE OF LEAVE 6-b) WHERE LEAVE WILL BE SPENT:
Vacation/Forced Leave
Sick Leave (1) IN CASE OF VACATION LEAVE
xxx Special Privilege Leave Within the Philippines
Solo Parent Leave Abroad (specify)
Rehabilitation Leave
Terminal Leave
Maternity/Paternity Leave (2) IN CASE OF SICK LEAVE
Monetization of Leave Credits In Hospital (specify)
Special Leave for Women Out Patient (specify)

c) NUMBER OF WORKING DAYS d) COMMUTATION


APPLIED FOR:
XX Requested Not Requested
ONE (1) DAY

INCLUSIVE DATES:
SIGNATURE:
MARCH 27, 2017

DETAILS OF ACTION ON APPLICATION

7-a) CERTIFICATION OF LEAVE 7-b) RECOMMENDATION


CREDITS AS OF:
XX Approval
VACATION SICK TOTAL
Disapproved due to
DAYS DAYS DAYS

Recommending Approval:

ELIZABETH P. RODRIGO COSME D. IBIS, JR.


Administrative Officer IV Chief Probation and Parole Officer

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

days with pay


days without pay
others (specify)

DIR. ANGELITO A. ILANO, CESO VI


Regional Director

DATE:
CSC FORM 6
Revised 1984
APPLICATION FOR LEAVE

1 OFFICE/AGENCY 2 NAME (Last) (First) (Middle)


Parole and Probation Admin. - Benguet POSCHOR INES T
3 DATE OF FILING POSITION 5 SALARY (Monthly)
May 17 , 2017 SPPO P53,503.00
DETAILS OF APPLICATION
6-a) TYPE OF LEAVE 6-b) WHERE LEAVE WILL BE SPENT:
Vacation/Forced Leave
Sick Leave (1) IN CASE OF VACATION LEAVE
XXXX Special Privilege Leave Within the Philippines
Solo Parent Leave Abroad (specify)
Rehabilitation Leave
Terminal Leave
Maternity/Paternity Leave (2) IN CASE OF SICK LEAVE
Monetization of Leave Credits In Hospital (specify)
Special Leave for Women Out Patient (specify)

c) NUMBER OF WORKING DAYS d) COMMUTATION


APPLIED FOR:
XXX Requested Not Requested
TWO (2) DAYS

INCLUSIVE DATES:
SIGNATURE:
MAY 25-26, 2017

DETAILS OF ACTION ON APPLICATION

7-a) CERTIFICATION OF LEAVE 7-b) RECOMMENDATION


CREDITS AS OF:
XX Approval
VACATION SICK TOTAL
Disapproved due to
DAYS DAYS DAYS

Recommending Approval:

ELIZABETH P. RODRIGO COSME D. IBIS, JR.


Administrative Officer IV Chief Probation and Parole Officer

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

days with pay


days without pay
others (specify)

DIR. ANGELITO A. ILANO, CESO VI


Regional Director

DATE:
CSC FORM 6
Revised 1984
APPLICATION FOR LEAVE

1 OFFICE/AGENCY 2 NAME (Last) (First) (Middle)


Parole and Probation Admin. - Benguet DULNUAN BENEDICTA D.
3 DATE OF FILING POSITION 5 SALARY (Monthly)
DECEMBER 27, 2016 PPOII
DETAILS OF APPLICATION
6-a) TYPE OF LEAVE 6-b) WHERE LEAVE WILL BE SPENT:
Vacation/Forced Leave
Sick Leave (1) IN CASE OF VACATION LEAVE
xxxx Special Privilege Leave Within the Philippines
Solo Parent Leave Abroad (specify)
Rehabilitation Leave
Terminal Leave
Maternity/Paternity Leave (2) IN CASE OF SICK LEAVE
Monetization of Leave Credits In Hospital (specify)
Special Leave for Women Out Patient (specify)

c) NUMBER OF WORKING DAYS d) COMMUTATION


APPLIED FOR:
XX Requested Not Requested
ONE (1) DAY

INCLUSIVE DATES:
SIGNATURE:
JANUARY 4,2017

DETAILS OF ACTION ON APPLICATION

7-a) CERTIFICATION OF LEAVE 7-b) RECOMMENDATION


CREDITS AS OF:
XX Approval
VACATION SICK TOTAL
Disapproved due to
DAYS DAYS DAYS

Recommending Approval:

ELIZABETH P. RODRIGO COSME D. IBIS, JR.


Administrative Officer IV Chief Probation and Parole Officer

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

days with pay


days without pay
others (specify)

ARD BELINDA C. ZAFRA


Assistant Regional Director

DATE:
CSC FORM 6
Revised 1984
APPLICATION FOR LEAVE

1 OFFICE/AGENCY 2 NAME (Last) (First) (Middle) (Ext.)


Parole and Probation Admin. - Benguet IBIS COSME D. JR.
3 DATE OF FILING POSITION 5 SALARY (Monthly)
DEC. 1, 2017 CPPO
DETAILS OF APPLICATION
6-a) TYPE OF LEAVE 6-b) WHERE LEAVE WILL BE SPENT:
Vacation/Forced Leave
Sick Leave (1) IN CASE OF VACATION LEAVE
Special Privilege Leave Within the Philippines
Solo Parent Leave Abroad (specify)
Rehabilitation Leave
Terminal Leave
Maternity/Paternity Leave (2) IN CASE OF SICK LEAVE
XXXX Monetization of Leave Credits In Hospital (specify)
Special Leave for Women Out Patient (specify)

c) NUMBER OF WORKING DAYS d) COMMUTATION


APPLIED FOR:

XX Requested Not Requested

INCLUSIVE DATES:
SIGNATURE:

DETAILS OF ACTION ON APPLICATION

7-a) CERTIFICATION OF LEAVE 7-b) RECOMMENDATION


CREDITS AS OF:
XX Approval
VACATION SICK TOTAL
Disapproved due to
DAYS DAYS DAYS

Recommending Approval:

KIRK S. YAPYAPAN ARD BELINDA C. ZAFRA


Administrative Officer IV Assistant Regional Director

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

days with pay


days without pay
others (specify)

DIR. ANGELITO A. ILANO, CESO VI


Regional Director

DATE:

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