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6
Department of Science and Technology
PHILIPPINE SCIENCE HIGH SCHOOL
Cordillera Administrative Region Campus
DETAILS OF APPLICATION
6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT:
[ ] Vacation (1) IN CASE OF VACATION LEAVE
[ ] Sick Leave [ ] Within the Philippines
[ ] Special Leave Privilege [ ] Abroad (Specify) ___________________
[ ] Others (specify) ___________________ (2) IN CASE OF SICK LEAVE
[ ] Compensatory Day Off in lieu of: ____________ [ ] In Hospital (Specify) _________________
[ ] Terminal Leave [ ] Out Patient (Specify) ________________
6. c) NUMBER OF WORKING DAYS 6. d) COMMUTATION:
APPLIED FOR: [ ] Requested [/ ] Not Requested
INCLUSIVE DAYS:
(Signature of Applicant)
CISD/SSD Chief
Posted by: FRESCA S. NEDIC (Designation)
(HRMO)
7. c) APPROVED FOR: 7. d) DISAPPROVED DUE TO:
[ ] days with pay _______________________________
[ ] days without pay _______________________________
(Middle)
RY (Monthly)
BE SPENT:
___________________
y) _________________
ify) ________________
ot Requested
of Applicant)
_________________
________________
_________________
BA C. PATACSIL
of Authorized Official)
SD/SSD Chief
nation)
____________
____________