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    Department of Education: Application For Leave

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    Darren Cariño
    This document is a Civil Service Form application for leave submitted by Darren C. Cariño, a Nurse II in the Department of Education Cordillera Administrative Region Schools Division Office of Abra. He is applying for 1 day of vacation leave on February 14, 2022. The form provides spaces to include details of the leave type being applied for, number of days, certification of leave credits, and areas for recommendation and approval or disapproval by authorized officers.

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    Department of Education: Application For Leave

    Uploaded by

    Darren Cariño
    416 views2 pages
    This document is a Civil Service Form application for leave submitted by Darren C. Cariño, a Nurse II in the Department of Education Cordillera Administrative Region Schools Division Office of Abra. He is applying for 1 day of vacation leave on February 14, 2022. The form provides spaces to include details of the leave type being applied for, number of days, certification of leave credits, and areas for recommendation and approval or disapproval by authorized officers.

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    New-Form-6

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    This document is a Civil Service Form application for leave submitted by Darren C. Cariño, a Nurse II in the Department of Education Cordillera Administrative Region Schools Division Office of Abra. He is applying for 1 day of vacation leave on February 14, 2022. The form provides spaces to include details of the leave type being applied for, number of days, certification of leave credits, and areas for recommendation and approval or disapproval by authorized officers.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    416 views2 pages

    Department of Education: Application For Leave

    Uploaded by

    Darren Cariño
    This document is a Civil Service Form application for leave submitted by Darren C. Cariño, a Nurse II in the Department of Education Cordillera Administrative Region Schools Division Office of Abra. He is applying for 1 day of vacation leave on February 14, 2022. The form provides spaces to include details of the leave type being applied for, number of days, certification of leave credits, and areas for recommendation and approval or disapproval by authorized officers.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 2

    Civil Service Form No.

    6 ANNEX A
    Revised 2020

    Republic of the Philippines Stamp of Date of Receipt

    Department of Education
    Cordillera Administrative Region
    SCHOOLS DIVISION OFFICE OF ABRA
    APPLICATION FOR LEAVE
    1. OFFICE/DEPARTMENT 2. NAME: (Last) (First) (Middle)
    DEPED CARIÑO DARREN C.
    3. DATE OF FILING January 19, 2022 4. POSITION NURSE II 5. SALARY PHP 37,044.00

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

    / Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E.O. No. 292) In case of Vacation/Special Privilege Leave:
    Mandatory/Forced Leave(Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292) / Within the Philippines
    Sick Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Abroad (Specify)

    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. 1998, 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 / CSC MC 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 MC 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 Benefits for Women (RA No. 9710 / CSC MC No. 25, s. 2010) BAR/Board Examination Review Other
    Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, as amended) purpose:
    Adoption Leave (R.A. No. 8552) Monetization of Leave Credits

    Others: Terminal Leave

    6.C NUMBER OF WORKING DAYS APPLIED FOR 6.D COMMUTATION


    1 Day Not Requested
    INCLUSIVE DATES Requested
    February 14, 2022 DARREN C. CARIÑO
    (Signature of Applicant)

    7. DETAILS OF ACTION ON APPLICATION


    7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION

    As of

    Vacation Leave Sick Leave For approval


    Total Earned
    For disapproval due to
    Less this application

    Balance - -

    GEMMA B. CABUTAJE, AO IV LEMUEL B. DICKSON, EdD


    Administrative Office IV Chief Education Supervisor, SGOD
    Authorized Officer Authorized Officer

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


    days with pay
    days without pay

    others (Specify)

    BENILDA M. DAYTACA,EdD, CESO VI


    OIC-Schools Division Superintendent
    Authorized Officer

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