Application For Leave: Deped Arnuco Sherwin Phillip Placente March 17, 2021 Teacher I 22, 316

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CSC Form 6

Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency 2. Name (Last) (First) (Middle)
Deped ARNUCO SHERWIN PHILLIP PLACENTE
3. Date of Filing 4. Position 5. Salary
March 17, 2021 Teacher I 22, 316
DETAILS OF APPLICATION
6. A) Type of Leave 6. B) Where Leave will be spent:
Vacation 1. In case of Vacation Leave
To seek employment Within the Philippines
Others (Specify) Abroad (Specify)

Sick 2. In case of Sick Leave


Maternity In hospital (Specify)
Others (Specify)
Filing for permit to study in Division Office
and enrolment in SLPU - Sta. Cruz
6. C) Number of Working Days applied for: 6. D) Commutation
1 Requested Not Requested
Inclusive Dates
March 18, 2021 SHERWIN PHILLIP P. ARNUCO
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

RICARDO P. BORALLO, Ph. D.


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

Signature

Authorized Official

Date: _________________

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