œ CIVIL SERVICE FORM No. 48 œ CIVIL SERVICE FORM No. 48 œ CIVIL SERVICE FORM No.

48 œ
œ DAILY TIME RECORD œ DAILY TIME RECORD œ DAILY TIME RECORD œ
œ œ œ œ
œ MARISSA R. VILLAMON œ MARISSA R. VILLAMON œ MARISSA R. VILLAMON œ
œ (Name) œ (Name) œ (Name) œ
œ For the month of : DECEMBER 2018 œ For the month of : DECEMBER 2018 œ For the month of : DECEMBER 2018 œ
œ Official hours for arrival Regular days œ Official hours for arrival Regular days œ Official hours for arrival Regular days
œ and departure ( Saturdays__(as required)_ œ and departure ( Saturdays__(as required)_ œ and departure ( Saturdays__(as required)_ œ
œ A.M. P.M. UNDERTIME œ A.M. P.M. UNDERTIME œ A.M. P.M. UNDERTIME œ
œ Day Depar- Depar- œ Day Depar- Depar- œ Day Depar- Depar- œ
œ
Arrival
ture
Arrival
ture
HOURS Minutes œ Arrival
ture
Arrival
ture
HOURS Minutes
œ
Arrival
ture
Arrival
ture
HOURS Minutes
œ
œ 1 œ 1 œ 1 œ
œ 2 œ 2 œ 2 œ
œ 3 œ 3 œ 3 œ
œ 4 œ 4 œ 4 œ
œ 5 œ 5 œ 5 œ
œ 6 œ 6 œ 6 œ
œ 7 œ 7 œ 7 œ
œ 8 œ 8 œ 8 œ
œ 9 œ 9 œ 9 œ
œ 10 œ 10 œ 10 œ
œ 11 œ 11 œ 11 œ
œ 12 œ 12 œ 12 œ
œ 13 œ 13 œ 13 œ
œ 14 œ 14 œ 14 œ
œ 15 œ 15 œ 15 œ
œ 16 œ 16 œ 16 œ
œ 17 œ 17 œ 17 œ
œ 18 œ 18 œ 18 œ
œ 19 œ 19 œ 19 œ
œ 20 œ 20 œ 20 œ
œ 21 œ 21 œ 21 œ
œ 22 œ 22 œ 22 œ
œ 23 œ 23 œ 23 œ
œ 24 œ 24 œ 24 œ
œ 25 œ 25 œ 25 œ
œ 26 œ 26 œ 26 œ
œ 27 œ 27 œ 27 œ
œ 28 œ 28 œ 28 œ
29 29 29
30 30 30
31 31 31
œ TOTAL œ TOTAL œ TOTAL œ
œ œ œ œ
œ I CERTIFY on my honor that the above is a true and correct œ I CERTIFY on my honor that the above is a true and correct œ I CERTIFY on my honor that the above is a true and correct œ
œ report of the hours of work performed, record of which was made daily œ report of the hours of work performed, record of which was made daily œ report of the hours of work performed, record of which was made daily œ
œ at the time of arrival and departure from office. œ at the time of arrival and departure from office. œ at the time of arrival and departure from office. œ

MARISSA R. VILLAMON, MAELT MARISSA R. VILLAMON, MAELT MARISSA R. VILLAMON, MAELT

œ œ œ œ
œ Verified as to the prescribed office hours. œ Verified as to the prescribed office hours. œ Verified as to the prescribed office hours. œ
œ œ œ œ
EMELITO V. GALLEGOS,MST œ EMELITO V. GALLEGOS,MST œ EMELITO V. GALLEGOS,MST œ
In Charge œ In Charge œ In Charge œ
 APPLICATION FOR LEAVE
CS Form 6
Revised 1998
1. OFFICE / AGENCY 2. NAME OF PERSONNEL Employee #:
DIVISION : SURIGAO DEL SUR
DISTRICT: CAGWAIT 1 ,
SCHOOL: Last Name First Name Middle Name

3. Date of Filing 4. Position 5. Basic Salary (Monthly)

, 2019 P
6. DETAILS OF APPLICATION
6.a. TYPE OF LEAVE 6.b. WHERE LEAVE BE SPENT
VACATION IN CASE OF VACATION LEAVE
TO SEEK EMPLOYMENT With in the Philippines
Others (specify) Abroad (specify)

SICK LEAVE IN CASE OF SICK LEAVE

MATERNITY In Hospital (specify)
Others (specify)
Outpatient (specify)

6.c. NUMBER OF WORKING DAYS APPLIED 6.d. COMMUTATION

FOR: day/s Requested
Inclusive Dates: Not Requested

Signature over Printed Name of Applicant

7. DETAILS OF ACTION ON APPLICATION
7.a. CERTIFICATION OF LEAVE CREDI 7.b. RECOMMENDATION
as of : , 2018 Approval
V.L. S.L. Total Disapproval due to:
Prev. Balance:
Less: LEAVE
Current Balance:

EPPIE P. CABRERA, AO-IV EMELITO V. GALLEGOS

Division HRMO Authorized Officer
7.c. APPROVED FOR: 7.d. RECOMMENDATION
day/s With Pay APPROVED
day/s Without Pay Disapproved due to:
other (specify)

MARILOU B. DEDUMO, Ph.D., CESO V

School Division Superintendent
Date : (Authorized Official)
œ CIVIL SERVICE FORM No. 48 œ CIVIL SERVICE FORM No. 48 œ CIVIL SERVICE FORM No. 48 œ
œ DAILY TIME RECORD œ DAILY TIME RECORD œ DAILY TIME RECORD œ
œ œ œ œ
œ MARISSA R. VILLAMON œ MARISSA R. VILLAMON œ MARISSA R. VILLAMON œ
œ (Name) œ (Name) œ (Name) œ
œ For the month of : DECEMBER 2018 œ For the month of : DECEMBER 2018 œ For the month of : DECEMBER 2018 œ
œ Official hours for arrival Regular days œ Official hours for arrival Regular days œ Official hours for arrival Regular days
œ and departure ( Saturdays__(as required)_ œ and departure ( Saturdays__(as required)_ œ and departure ( Saturdays__(as required)_ œ
œ A.M. P.M. UNDERTIME œ A.M. P.M. UNDERTIME œ A.M. P.M. UNDERTIME œ
œ Day Depar- Depar- œ Day Depar- Depar- œ Day Depar- Depar- œ
œ
Arrival
ture
Arrival
ture
HOURS Minutes œ Arrival
ture
Arrival
ture
HOURS Minutes
œ
Arrival
ture
Arrival
ture
HOURS Minutes
œ
œ 1 œ 1 œ 1 œ
œ 2 œ 2 œ 2 œ
œ 3 œ 3 œ 3 œ
œ 4 œ 4 œ 4 œ
œ 5 œ 5 œ 5 œ
œ 6 œ 6 œ 6 œ
œ 7 œ 7 œ 7 œ
œ 8 œ 8 œ 8 œ
œ 9 œ 9 œ 9 œ
œ 10 œ 10 œ 10 œ
œ 11 œ 11 œ 11 œ
œ 12 œ 12 œ 12 œ
œ 13 œ 13 œ 13 œ
œ 14 œ 14 œ 14 œ
œ 15 œ 15 œ 15 œ
œ 16 œ 16 œ 16 œ
œ 17 œ 17 œ 17 œ
œ 18 œ 18 œ 18 œ
œ 19 œ 19 œ 19 œ
œ 20 œ 20 œ 20 œ
œ 21 œ 21 œ 21 œ
œ 22 œ 22 œ 22 œ
œ 23 œ 23 œ 23 œ
œ 24 œ 24 œ 24 œ
œ 25 œ 25 œ 25 œ
œ 26 œ 26 œ 26 œ
œ 27 œ 27 œ 27 œ
œ 28 œ 28 œ 28 œ
29 29 29
30 30 30
31 31 31
œ TOTAL œ TOTAL œ TOTAL œ
œ œ œ œ
œ I CERTIFY on my honor that the above is a true and correct œ I CERTIFY on my honor that the above is a true and correct œ I CERTIFY on my honor that the above is a true and correct œ
œ report of the hours of work performed, record of which was made daily œ report of the hours of work performed, record of which was made daily œ report of the hours of work performed, record of which was made daily œ
œ at the time of arrival and departure from office. œ at the time of arrival and departure from office. œ at the time of arrival and departure from office. œ

MARISSA R. VILLAMON, MAELT MARISSA R. VILLAMON, MAELT MARISSA R. VILLAMON, MAELT

œ œ œ œ
œ Verified as to the prescribed office hours. œ Verified as to the prescribed office hours. œ Verified as to the prescribed office hours. œ
œ œ œ œ
EMELITO V. GALLEGOS,MST œ EMELITO V. GALLEGOS,MST œ EMELITO V. GALLEGOS,MST œ
In Charge œ In Charge œ In Charge œ