CSC Form 6

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CSC Form 6

Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency 2. Name (Last) (First) (Middle)
DNPPO, PRO 11, PNP MIRANDA VIENNA MAE JUNGCO
3. Date of Filing 4. Position 5. Salary
9-Jan-19 Admin Assistant I
DETAILS OF APPLICATION
6. A) Type of Leave 6. B) Where Leave will be spent:
Mandatory 1. In case of Vacation Leave
To seek employment Within the Philippines
Others (Specify) Abroad (Specify)
SOUTH KOREA
Sick 2. In case of Sick Leave
Maternity In hospital (Specify)
Others (Specify) N/A

6. C) Number of Working Days applied for: 6. D) Commutation


Three (3) days Requeste Not Requested
Inclusive Dates
April 16-22, 2019
Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of

Vacation Sick Total Approval


Disapproval due to
days days days

Authorized Official Authorized Official


7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay

Signature

Authorized Official

Date: _________________
Requested

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