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APPLICATION FOR LFAVE CSC FORM 6 Revised 1986 S [1 OFFICE/AGENCY 2. NAME (Last} (First) (Middle) 1 Depéd-Division of Marinduque | 3. DATE OF FILING “4, POSITION. 5. SALARY DETAILS OF APPLICATION 6. a) TYPE OF LEAVE 6, b) WHERE LEAVE WILL BE SPENT é vacation 1, IN CASE OF VACATION LEAVE 5 __ To sezk employment within the Philippines Others (specify) = __ Abroad (specify) Sick 2, INCASE OF SICK LEAVE ‘Maternity in Hospital (specify) _others = Out Patient (specify) 6. ¢) NUMBER OF WORKING DAYS 6. d) COMMUTATION APPLIED FOR eee __ Requested INCLUSIVE DATES Not Requested Squealer = DETAILS OF ACTION ON APPLICATION = 7-3] CERTIFICATION OF LEAVE 7.8) RECOMMENDA TION CREDITSASOF 2 + Approval = Disapproval vacation Sick Total MARIDELLE. HERMOSA ha ‘Administrative Officer IV School Head/Principal/District Supervisor 7c) RECOMMENDATIC Approval Disapprovel _ MAY BERNADETH O. DELA ROSA Administrative Officer V 7, d] APPROVED FOR = 7, €] DISAPPROVED DUE TO _ Days with Pay EE Days without Pay Others (specify) CARLITO M. MATIBAG, Ph.0. Officer-in-Charge Office of the Schoo!s Division Su intendent APPLICATION FOR LEAVE. Eom aa T OFFICe/AGENET THANE TT al Taare GUELoN aot Anon ica as PORTE OF FLING TFOSTION SSR DETAILS OF APPLICATION 6a) TPE oF Leave 6.2) WHERE Leave iu BESPENT ee INCASE OF VACATION LEAVE Fear tae within the Pipines teat Grae a Ree Geet tek 2. INCASE OF SICK LEAVE nerity * resale ieee} tt uae recs 6. «) NUMBER OF WORKING DAYS 6.6) coMMUTATION A29UIE0 FOR = Tene INCLUSIVE DATES Sean tegen = | nog Sil Gier REOANTE Rei pice:

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