DEPED Lanao DéL NORTE
RECORDS SECTION CONTKOL NO
Republica the Philippines RELEASED
Department of Educatio
REGION x
25 Wi 2 gts eo
SCHOOLS DIVISION OF LANAO DEL NORTE DATE TIME BY
July 24, 2023
DIVISION MEMORANDUM
No. G4 s,, 2023
‘SUBMISSION OF APPLICATION FOR LEAVE (FORM 6)
To: Assistant Schools Division Superintendent
Chief Education Supervisor, Curriculum Implementation Division
Chief Education Supervisor, School Governance and Operations Division
Division Office Personnel
Public Elementary and Secondary School Heads
Administrative Officers II
All Others Concerned
This Division
1, Relative to CSC Resolution No. 2100020 promulgated on January 7, 2021, all
concerned are hereby directed to strictly followed in the application of leave effective
August 1, 2023 to wit:
1.1 Leave Application which is more than thirty days (30), travel abroad
regardless of number of days, Study, VAWC, Rehabilitation, Magna Carta for
Women, is required to submit the hard copy of Form 6 (CSC Form No. 6 Revised
2020 Annex A-1) to the Records Section of this Division through respective
Administrative Officer and online application (OLS).
1.2 Leave Application equal to or less than 30 days is required to submit
online using the OLS ACCOUNT.
2. This Office directs the immediate and wide dissemination of this
Memorandum.
RIBOJOC, CESO V
ision Superintendent
OSDS/HRMO/ramz
7]
Ares: Pcaoge Tt ana dl Ne ge
Telephone No.; [063] 341-51-09vied 3020,
Annex A-2
Republic ofthe Philippines
Department of Education snp Ose
‘SCHOOLS DIVISION OF LANAO DEL NORTE
Pigcarangan Tubod Lanao del Norte
APPLICATION FOR LEAVE
f OFFIGEIDEPARTMENT 2 NAME: (last Fist) ‘wide
Is. DATE OF FILING. 4, Position ze
6. DETAILS OF APPLICATION
5, SALARY
[s.a TYPE OF LEAVE TO BE AVAILED OF
‘Veeaon Leave ex, Ae GbR nleneg £0 No 285
Mandotor Forced Leaves 25, fue, Di aes
‘Sik Love (re 4, fle XV Onn files temertig £0 No 252
a
a
1 Matemty Leave (2A. 12108 wn by SE, DLE md 55)
Paternity Leave RA no 17 /CSCMCNa 71 1608 amend
Speck Pviege Lenve(ste 2 fue} Ombu Ras npmeteg EO No 22)
Selo Paert Leave eas 6972/SC MEN +. 2008)
Stay Lenve (168 fd Conse rlamentng Me. 29
0-Day VAAC Leave AN, 262/CSC a 15, « 2008)
Pehabitaton Pvlege (Sx $5, de, Omnibus Re npamenegE No. 22)
15 Special Loave Benofis for Woman (Ro. 6710/S0 MC He 25 = 201)
‘3 SpeeialEmergancy(Calamiy) Leave CSC HC No.2» 20% ae amends
‘Adoption
6.8 DETAILS OF LEAVE
Incase of Vacation Special Privilege Leave:
5 Winin the Philippines
1 Abtoad (Speciy)
Incase of SickLeava
ig. InMospial(Specity ines
‘5 Outpatont (Speci ines
In case of Special Leave Benes lor Women
(Speciy ness
Tn cave of Study Leave
‘Completion of ma
a 's degree
5 BAR/Bourd Exarination Review
‘Other purpo
Monetization of Le
Terminal Leave
[E.c NUMBER OF WORKING DAYS APPLIED FOR
INCLUSIVE DATES.
[6.0 comMUTATION
Not Requested
fy Requested
natare opp]
7. DETAILS OF ACTION ON APPLICATION
[7.8 CERTIFICATION OF LEAVE CREDITS:
Vacation Leave
Total armed
[7.8 RECOMMENDATION
Fer approval
For disapproval ue to
Tessthis application
Balance
TRuiherzed OfFeor)
esis Heady
l7.c APPROVED FOR:
days wih pay
ys thou pay
‘others (Spec)
EDWIN R. MARIBOJOC, CESO V
(Authorized Off
7.0 DISAPPROVED DUE TO: