Department of Education

Region V
Division of Camarines Sur
Freedom Sports Complex, San Jose, Pili, Camarines Sur
Tigaon District
GAAO ELEMENTARY SCHOOL

APPLICATION FOR LEAVE

SC Form No. 6

1. OFFICE/AGENCY 2. NAME: (LAST) (FIRST) (MIDDLE)

DEPED, CAM SUR AVILA JACQUELINE GRANPIO

3. DATE OF FILING: 4. POSITION 5.SALARY

APRIL 19, 2022 T-1 Php 25, 439.00

DETAILS OF APPLICATION

6a. Type of Leave 6.b. WHERE LEAVE WILL BE SPENT

Vacation (1) In case of Vacation Leave
To seek employment Within the Philippines
Sick Leave Abroad (Specify) _____________
Maternity (2) In case of Sick Leave
Others (Specify) ________________ Name of Hospital ______________
Out Patient (specify) ___________
.................................................................................... ..........................................................................
c. NUMBER OF WORKING DAYS d. COMMUTATION:
APPLIED FOR: ____105___________ Requested
INCLUSIVE DATES: MAY 23, 2022 to SEPTEMBER 4, 2022 Not Requested
_________________________ ____________________________
Signature of Applicant

DETAILS OF ACTION ON APPLICATIONS

7b. RECOMMENDATION:

7a. CERTIFICATION OF LEAVE CREDITS Approved

as of ______________________________
Disapproved due to ___________
Vacation Sick TOTA COC SPL
L

LESS This leave

Balance
HAIDE P. PARAJES
MARIA DIVINA H. CALLEJA School Principal
Personnel Section/Administrative Officer V

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

__/__ Day with pay _________________________________________
____ Days without pay _________________________________________
____ Others (Specify) ______________________________ _______