RECEIVED: 1/5/2021

REF. NO: MON-10-201202-7

NATIONAL ECONOMIC AND DEVELOPMENT AUTHORITY 5

Arimbay Legazpi City

APPLICATION FOR LEAVE

1. STAFF/DIVISION: 3. NAME (Last) (First) (M.I.)
(Middle)
PFPD FERNANDEZ NANCY K.
2. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
5-Jan-21 Senior EDS
DETAILS OF APPLICATION
6. a). TYPE OF LEAVE C. WHERE LEAVE WILL BE SPENT
( x ) Vacation 1. IN CASE OF VACATION LEAVE
( ) To seek employment ( ) Within the Philippines
( x ) Others (Specify) __Monetization___ ( ) Abroad (Specify) _____________
__________________________ ______________________________
__________________________
( ) Sick 2. IN CASE OF SICK LEAVE
( ) Maternity ( ) In Hospital (Specify) __________
( ) Others (Specify) ____________________ ___________________________
( ) Compensatory Time-Off ( ) Out Patient (Specify) __________

B. NUMBER OF WORKING DAYS APPLIED FOR

30 days D. COMMUTATION
' ( x ) Requested ( ) Not Requested
Inclusive of dates:
___NANCY K. FERNANDEZ___
(Signature of Applicant)
DETAILS OF ACTIONS ON APPLICATION
A. CERTIFICATION OF LEAVE CREDITS B. RECOMMENDATION
1/5/2021
As of _____________________________
Vacation Sick Total ( ) Approval _______________________
( ) Disapproval due to _________________
63.481
Days ____________ 144.980 _________
________ 208.461
CERTIFICATION OF SPECIAL LEAVE BENEFITS BALANCE ________________________________
________________________________
As of ____________________________________
________________ of THREE DAYS

CERTIFICATION OF OVERTIME CREDITS

As of _____________________________
Hours __________ Minutes ______________
ENGR. GILBERTO A. ABION
_____DAVE A. BRIONES_____ Division Chief, PFPD
HRMO
C. APPROVED FOR: D. DISAPPROVED DUE TO:
_______________ days with pay
_______________ days without pay ___________________________________
_______________ Others (Specify) ___________________________________

APPROVED BY:

AGNES E. TOLENTINO
Regional Director

NRO5-F-HR-33 Rev. 0 May 15, 2014