This document is a payment request form for maternity leave benefits submitted by Honeybelle J. Tapel, a Teacher III at Salunayan High School. It requests payment for her maternity leave from May 8, 2023 to August 20, 2023 and includes her employee information, position details, and the required supporting documents. The form is signed by the school head to approve the request.
This document is a payment request form for maternity leave benefits submitted by Honeybelle J. Tapel, a Teacher III at Salunayan High School. It requests payment for her maternity leave from May 8, 2023 to August 20, 2023 and includes her employee information, position details, and the required supporting documents. The form is signed by the school head to approve the request.
This document is a payment request form for maternity leave benefits submitted by Honeybelle J. Tapel, a Teacher III at Salunayan High School. It requests payment for her maternity leave from May 8, 2023 to August 20, 2023 and includes her employee information, position details, and the required supporting documents. The form is signed by the school head to approve the request.
This document is a payment request form for maternity leave benefits submitted by Honeybelle J. Tapel, a Teacher III at Salunayan High School. It requests payment for her maternity leave from May 8, 2023 to August 20, 2023 and includes her employee information, position details, and the required supporting documents. The form is signed by the school head to approve the request.
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PSU FORM 113 Revised 2002
DATE: October 03, 2023
PAYMENT REQUEST FOR MATERNITY LEAVE BENEFITS
DIVISION NAME/CODE: 088 - COTABATO DIVISION
STATION NAME: SALUNAYAN HIGH SCHOOL
(School for Secondary/District for Elementary) STATION CODE: (3 digits) 560 EMPLOYEE NUMBER: 4783856 EMPLOYEE NAME: HONEYBELLE J. TAPEL SINATURE:
PLEASE ATTACH HEREWITH THE FOLLOWING SUPPORTING DOCUMENTS:
(Each Requirements must be submitted in 2 copies only) 1. Accomplished PSU Form No. 113 2. Approved Special Order - Return to Duty 3. Approved Special Order - Maternity Leave 4. Approved Form 6 - Application for Leave 5. Form 41 - Philippine Civil Service Medical Certificate 6. Child - Certificate of Live Birth
Position: Teacher -III Salary Grade: 13
Step Increment: 1 Basic Salary: P 31, 320
Inclusive Period of Leave: May 8, 2023- August 20, 2023
Specify : M/L with full pay M/L with full pay
M/L with half pay
Please check appropriate box
ML with full pay
ML with half pay ML incurred during Christmas Vacation ML incurred during Summer Vacation