CSC FORM NO.

6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 PANTUA RICKIE BONITE
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
30-Sep-15 PERMANENT P 14, 834.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( / ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( ) Others (Mandatory Leave) (/ ) Within the Philippines __Oton, Iloilo__________________
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

30 working Days
Inclusive Dates : October 12 to November 24, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Rickie B Pantua

(Signature of Applicant)

Rizal Street, Oton, Iloilo

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO3 CERVANTES ELISEO DESAMPARADO
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
30-Sep-15 PERMANENT Php 18, 600.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( / ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( ) Others (Mandatory Leave) (/ ) Within the Philippines : Brgy Guiwanon, Bantayan Island, Cebu
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

30 working Days
Inclusive Dates : October 12 to November 24, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Eliseo D Cervantes

(Signature of Applicant)

Purok Mahidaeton, Brgy Paraiso, Sagay City, Negros Occidental

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 PERFAS EMMANUEL TAURO
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
30-Sep-15 PERMANENT P 14, 834.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( / ) Others (Mandatory Leave) ( ) Within the Philippines ____________________
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

5 working Days
Inclusive Dates : December 2-8, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Emmanuel T Perfas

(Signature of Applicant)

Oton, Iloilo City

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 TRIGUE CHRISTINE BANGUAL
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
1-Oct-15 PERMANENT P 14, 834.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( / ) Others (Mandatory Leave) ( ) Within the Philippines ____________________
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

5 working Days
Inclusive Dates : October 30 to November 4, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Christine B Trigue

(Signature of Applicant)

Tabao Baybay, San Enrique, Negros Occidental

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 CORPUS CHRISTIAN HENRY JUAYONG
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
1-Oct-15 PERMANENT P 14, 834.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( / ) Others (Mandatory Leave) ( ) Within the Philippines ____________________
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

5 working Days
Inclusive Dates : November 20 - 26, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Christian Henry J Corpus

(Signature of Applicant)

Brgy Damgo, E.B. Magalona, Negros Occidental

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 LABORDO GRACE JOY LARROZA
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
1-Oct-15 PERMANENT P 14, 834.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( / ) Others (Mandatory Leave) ( ) Within the Philippines ____________________
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

5 working Days
Inclusive Dates : November 27 to December 3, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Grace Joy L Labordo

(Signature of Applicant)

Brgy Panuran, Lambunao, Iloilo

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 PERFAS EMMANUEL TAURO
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
30-Sep-15 PERMANENT P 14, 834.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( ) Others (Mandatory Leave) ( ) Within the Philippines ____________________
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( / ) Others (Specify) Special Privilege Leave
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

3 working Days
Inclusive Dates : December 9-11, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Emmanuel T Perfas

(Signature of Applicant)

Oton, Iloilo City

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 FRUTO CHARLOTTE DELERIO
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
1-Oct-15 PERMANENT P 14, 834.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( / ) Others (Mandatory Leave) ( ) Within the Philippines ____________________
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

5 working Days
Inclusive Dates : November 20-26, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Charlotte D Fruto

(Signature of Applicant)

Brgy Bug-ang, Toboso, Negros Occidental

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PINSP PAULINO VICTOR JERUTA
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
1-Oct-15 PERMANENT P 32, 311.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( / ) Others (Mandatory Leave) ( ) Within the Philippines ____________________
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

5 working Days
Inclusive Dates : November 6-12, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PINSP VICTOR J PAULINO

(Signature of Applicant)

Bago, Negros Occidental

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 AMEDO KAREN JOY TABALANZA
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
13-Oct-15 PERMANENT P 14, 834.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( ) Others (______) ( ) Within the Philippines ____________________
( / ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

30 working days
Inclusive Dates : October 14 to November 25, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Karen Joy T Amedo

(Signature of Applicant)

Sibalom, Antique
Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 GREJALDO LEONIE MARAVILLA
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
16-Oct-15 PERMANENT P 14, 834.00

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( ) Others (______) ( ) Within the Philippines ____________________
( / ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

15 working days
Inclusive Dates : October 16 to November 6, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Leonie M Grejaldo

(Signature of Applicant)

Sibalom, Antique
Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO3 FLORES REMANDO SANSAIT
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
16-Oct-15 PERMANENT

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( ) Others (______) ( ) Within the Philippines ____________________
( / ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

15 working days
Inclusive Dates : October 19 to November 9, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO3 Remando S Flores

(Signature of Applicant)

Cadiz City, Negros Occidental

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 MAGLUYAN EDWARD OBILLOS
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
16-Oct-15 PERMANENT

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( ) Others (______) ( ) Within the Philippines ____________________
( / ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify) ___________________________
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

30 working days
Inclusive Dates : October 19 to November 27, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Edward O Magluyan

(Signature of Applicant)

Brgy Bacjawan Norte, Concepcion, Iloilo

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 ULAY ALVIEN CRISOLOGO
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
17-Oct-15 PERMANENT

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( ) Others (______) ( ) Within the Philippines ____________________
( ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( / ) Others (Specify) Emergency Leave
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

5 working days
Inclusive Dates : OOctober 26 - 30 , 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 Alvien C Ulay

(Signature of Applicant)

Brgy Palay, Batan, Aklan

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ___________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
*
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RPSB6 PO1 PANIZA NESTEA LACHIICA
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
25-Oct-15 PERMANENT

DETAILS OF APPLICATION
6. A. TYPE OF LEAVE 6. B. WHERE LEAVE WILL BE SENT:
( ) Vacation Leave
( ) To seek Employment 1. In case of Vacation Leave
( ) Others (______) ( ) Within the Philippines ____________________
( / ) Sick ( ) Abroad (Specify): _________________________
( ) Maternity ________________________________________
( ) Others (Specify)
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

5 working days
Inclusive Dates : October 26 to Nov 3, 2015 6. D. COMMUTATION
( ) Requested ( ) Not Requested

PO1 NESTEA L PANIZA

(Signature of Applicant)

Pulot-an, Pototan, Iloilo

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ____________________ ________

REMUS ZACHARIAS P CANIESO

Police Senior Superintendent
Battalion Commander

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)
CSC FORM NO. 6
Revised 1984
APPLICATION FOR LEAVE
1. OFFICE/ AGENCY 2. RANK/ NAME (LAST) (FIRST) (MIDDLE)
RMFB 6 PO1 Gonzales Rouen Gem Balela
3. DATE OF FILING 4. POSITION (STATUS OF APPOINTMENT) 5. SALARY
16-Jan-19 Patrol Member 29,668.00

6. A. TYPE OF LEAVE
( / ) Vacation Leave
( ) To seek Employment
( ) Others (______)
(©) Sick
( /))maternity
Maternity
( ) Others (Specify)
DETAILS OF APPLICATION
6. B. WHERE LEAVE WILL BE SENT:
1. In case of Vacation Leave
( ) Within the Philippines ____________________
( ) Abroad (Specify): _________________________
________________________________________
Special Privilege Leave
2. In case of Sick Leave
In Hospital ( Specify) ________________________

6. C. NUMBER OF WORKING DAYS APPILED FOR: Out Patient (Specify)

Inclusive Dates : 6. D. COMMUTATION

( ) Requested ( ) Not Requested

PO1 Rouen Gem Gonzales

(Signature of Applicant)

Villa Barbas 1 Brgy Zone II ,Cadiz City

Present Address
DETAIL OF ACTION ON APPLICATION
7. A. CERTIFICATE OF LEAVE CREDITS 7. B. RECOMMENDATION

As of
( ) Approval
Vacation Sick Total ( ) Disapproval due to ____________________ ________

LEO T BATILES
Police Superintendent
AFC, RMFB-6

Approved for: Diasapproved due to:

Days with pay _______________________________________

____________Days without pay _______________________________________

____________Others (specify)

_____________________________________
Signature

_____________________________________
(Authorized Official)