Civil Service No.

6 ANN
Revised 2020 Republic of the Philippines
Philippine National Police
Camp BGen Rafael T Crame, Quezon City

APPLICATION FOR LEAVE

1. OFFICE/DEPARTMENT 2. Name (Last) (First) (Middle)

OCPNP BATINGAN EMMANUEL

3. Date of Filing
5. Salary
Mar. 08, 2024
4. Position

PSSg(PERMANENT)

6. DETAILS OF APPLICATION

6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE:

In case of Vacation Leave/Special Privilege Leave
Vacation Leave (Sec.51, Rule XVI, Omnibus Rules Implementing E.O. No. 292)

Mandatory/Forced Leave (Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Within the Philippines

Abroad (Specify) :
__________________________________
Sick Leave (Sec. 43 Rule XVI, Omnibus Rules Implementing E.O. No. 292)

Maternity Leave (R.A No.11210 / IRR issued by CSC, DOLE and SSS) In case of Sick Leave

Paternity Leave (R.A No.8187 / CSC MC No. 71, S.1988, as amended) In Hospital (Specify Illness)

Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Out Patient (Specify Illness)

Solo Parent Leave(RA No. 8972 / CSCMC No. 8, s. 2004)

In Case of Special Leave Benefits for Women:

Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No. 292)

(Specify Illness)
10-Day VAWC Leave (RA No. 9262 / CSC No. 15, s. 2005)

In case of Study Leave

Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292)

Completion of Master's Degree

Special Leave Benifits for Women (RA No. 9710 / CSC No. 25, s. 20210)

BAR/Board Examination Review

Special Emergency (Calamity) Leave (CSC No. 2, 2012, as amended)

IOther Purpose:

Adoption Leave (R.A. No. 8552)

Monetization of Leave Credits

Others:
Terminal Leave
Mandatory Leave
6.C NUMBER OF WORKING DAYS APPLIED 6.D COMMUTATION
6.C NUMBER OF WORKING DAYS APPLIED

5 Not Requested

Inclusive Dates: Requested

Apr. 17 - 23, 2024

Signature of Applicant

7. DETAILS OF ACTION ON APPLICATION

7.A CERTIFICATION OF WORKING DAYS APPLIED FOR 7.B RECOMMENDATION

as of 03/08/2024 Approval

Vacation Sick Disapproval due to

________________________________________
Total Earned 140.28 205.28 ________________________________________
________________________________________
Less this Application
Balance 140.28 205.28

Authorized Official Authorized Official

7.C APPROVED FOR: 7.D DISAPPROVED DUE TO:

Days with pay

Days without pay

Other (Specify)

(Authorized Official)
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