APPLICATION FOR LEAVE

CSC Form 6
Revised 1984
1. OFFICE/AGENCY : NAME (LAST) (FIRST) (MIDDLE)
COMMAND GROUP CALIMAG LESTER AHL TAMAYAO
___________________________________________________________________________
3. DATE OF FILING 4. POSITION 5. SALARY (MONTHLY)
May 30, 2017 Action PNCO

6. a. TYPE OF LEAVE c. WHERE LEAVE WILL BE SPENT

( ) Vacation Leave ( ) IN CASE OF VACATION LEAVE
( ) Sick Leave ( ) Within the Philippines
( ) Mandatory Leave ( ) Abroad (specify) ________________________
( ) Special Privilege Leave
( ) Maternity Leave ( ) IN CASE OF SICK LEAVE
( / ) Paternity Leave ( ) In Hospital (Specify) _______________
( ) Others: ( ) Out Patient (Specify) _______________
__________________________________________________________________________

6.b. NUMBER OF WORKING DAYS d. COMMUTATION

APPLIED FOR: ( / ) A. Requested ( ) B. Not Requested

Seven (7) Days

Inclusive dates:

May 19-29, 2017

________________________
(Signature of Applicant)
Address: Peablanca, Cagayan
_____________________________________________________________________________

DETAILS OF ACTION ON APPLICATION

7.a. CERTIFICATE OF LEAVE CREDITS 7.b: RECOMMENDATION

As of ________________________ ( ) Approved
---------------------------------------------------- ( ) Disapproved due to
Vacation Sick Total

----------------------------------------------------

PSINSP ALVINO V SORITA PSSUPT JOSELITO JOHN W SANTOS

Chief Records Management Section Regional Chief Directorial Staff
(Personnel Officer) (Authorized Officer)

______________________________________________________________________________
7.c. APPROVED FOR: DISAPPROVED DUE TO:
_______ days with pay
_______ days without pay
_______ days others (specify)

__________________________________
Signature
 APPLICATION FOR LEAVE

CSC Form 6
Revised 1984
1. OFFICE/AGENCY : NAME (LAST) (FIRST) (MIDDLE)
ORCDS, PRO2 DOMINGO MINA AGBISIT
___________________________________________________________________________
3. DATE OF FILING 4. POSITION 5. SALARY (MONTHLY)
June 25, 2015 RSDS

6. a. TYPE OF LEAVE c. WHERE LEAVE WILL BE SPENT

( ) Vacation Leave ( ) IN CASE OF VACATION LEAVE
( ) Sick Leave ( / ) Within the Philippines
( / ) Mandatory Leave ( ) Abroad (specify) ________________________
( ) Special Privilege Leave
( ) Maternity Leave ( ) IN CASE OF SICK LEAVE
( ) Paternity Leave ( ) In Hospital (Specify) _______________
( ) Others: ( ) Out Patient (Specify) _______________
__________________________________________________________________________

6.b. NUMBER OF WORKING DAYS d. COMMUTATION

APPLIED FOR: ( / ) A. Requested ( ) B. Not Requested

Five (5) Days

Inclusive dates:

August 4 - 10, 2015

________________________
(Signature of Applicant)
Address: Davao and Tacloban City
_____________________________________________________________________________

DETAILS OF ACTION ON APPLICATION

7.a. CERTIFICATE OF LEAVE CREDITS 7.b: RECOMMENDATION

As of ________________________ ( ) Approved
---------------------------------------------------- ( ) Disapproved due to
Vacation Sick Total

----------------------------------------------------

_______________________ __________________
(Personnel Officer) (Authorized Officer)

______________________________________________________________________________
7.c. APPROVED FOR: DISAPPROVED DUE TO:
_______ days with pay
_______ days without pay
_______ days others (specify)

__________________________________
Signature
 APPLICATION FOR LEAVE

CSC Form 6
Revised 1984
1. OFFICE/AGENCY : NAME (LAST) (FIRST) (MIDDLE)
ODRDO, PRO2 Lopez Shirley Birung
___________________________________________________________________________
3. DATE OF FILING 4. POSITION 5. SALARY (MONTHLY)
March 21, 2016 Chief, Clerk

6. a. TYPE OF LEAVE c. WHERE LEAVE WILL BE SPENT

( ) Vacation Leave ( ) IN CASE OF VACATION LEAVE
( ) Sick Leave ( / ) Within the Philippines
( ) Mandatory Leave ( ) Abroad (specify) ________________________
( / ) Special Privilege Leave
( ) Maternity Leave ( ) IN CASE OF SICK LEAVE
( ) Paternity Leave ( ) In Hospital (Specify) _______________
( ) Others: ( ) Out Patient (Specify) _______________
__________________________________________________________________________

6.b. NUMBER OF WORKING DAYS d. COMMUTATION

APPLIED FOR: ( / ) A. Requested ( ) B. Not Requested

Three (3) Days

Inclusive dates:

April 13 - 15, 2016

________________________
(Signature of Applicant)
Address: Ugac Sur, Tuguegarao City
_____________________________________________________________________________

DETAILS OF ACTION ON APPLICATION

7.a. CERTIFICATE OF LEAVE CREDITS 7.b: RECOMMENDATION

As of ________________________ ( ) Approved
---------------------------------------------------- ( ) Disapproved due to
Vacation Sick Total

----------------------------------------------------

_______________________ __________________
(Personnel Officer) (Authorized Officer)

______________________________________________________________________________
7.c. APPROVED FOR: DISAPPROVED DUE TO:
_______ days with pay
_______ days without pay
_______ days others (specify)

__________________________________
Signature
 APPLICATION FOR LEAVE

CSC Form 6
Revised 1984
1. OFFICE/AGENCY : NAME (LAST) (FIRST) (MIDDLE)
ORCDS, PRO2 LIM GREGORIO NOTO
___________________________________________________________________________
3. DATE OF FILING 4. POSITION 5. SALARY (MONTHLY)
February 17, 2015 RCDS

6. a. TYPE OF LEAVE c. WHERE LEAVE WILL BE SPENT

( ) Vacation Leave ( ) IN CASE OF VACATION LEAVE
( ) Sick Leave ( / ) Within the Philippines
( / ) Mandatory Leave ( ) Abroad (specify) ________________________
( ) Special Privilege Leave
( ) Maternity Leave ( ) IN CASE OF SICK LEAVE
( ) Paternity Leave ( ) In Hospital (Specify) _______________
( ) Others: ( ) Out Patient (Specify) _______________
__________________________________________________________________________

6.b. NUMBER OF WORKING DAYS d. COMMUTATION

APPLIED FOR: ( / ) A. Requested ( ) B. Not Requested

Five (5) Days

Inclusive dates:

February 23 27, 2015

________________________
(Signature of Applicant)
Address: 9114 San Bemissa Garden Villas, Novaliches, Quezon City
_____________________________________________________________________________
 DETAILS OF ACTION ON APPLICATION
7.a. CERTIFICATE OF LEAVE CREDITS 7.b: RECOMMENDATION

As of ________________________ ( ) Approved
---------------------------------------------------- ( ) Disapproved due to
Vacation Sick Total

----------------------------------------------------

_______________________ __________________
(Personnel Officer) (Authorized Officer)

______________________________________________________________________________
7.c. APPROVED FOR: DISAPPROVED DUE TO:
_______ days with pay
_______ days without pay
_______ days others (specify)

__________________________________
Signature

APPLICATION FOR LEAVE

CSC Form 6
Revised 1984
1. OFFICE/AGENCY : NAME (LAST) (FIRST) (MIDDLE)
ORCDS, PRO2 LORONO JOANNA ZARCILLA
___________________________________________________________________________
3. DATE OF FILING 4. POSITION 5. SALARY (MONTHLY)
January 27, 2015 RSDS

6. a. TYPE OF LEAVE c. WHERE LEAVE WILL BE SPENT

( ) Vacation Leave ( ) IN CASE OF VACATION LEAVE
( ) Sick Leave ( / ) Within the Philippines
( / ) Mandatory Leave ( ) Abroad (specify) ________________________
( ) Special Privilege Leave
( ) Maternity Leave ( ) IN CASE OF SICK LEAVE
( ) Paternity Leave ( ) In Hospital (Specify) _______________
( ) Others: ( ) Out Patient (Specify) _______________
__________________________________________________________________________

6.b. NUMBER OF WORKING DAYS d. COMMUTATION

 APPLIED FOR: ( / ) A. Requested ( ) B. Not Requested

Five (5) Days

Inclusive dates:

March 2 - 6, 2015
________________________
(Signature of Applicant)
Address: #9 Jade Compound, Merville Access Rd, Pasay City
_____________________________________________________________________________

DETAILS OF ACTION ON APPLICATION

7.a. CERTIFICATE OF LEAVE CREDITS 7.b: RECOMMENDATION

As of ________________________ ( ) Approved
---------------------------------------------------- ( ) Disapproved due to
Vacation Sick Total

----------------------------------------------------

_______________________ __________________
(Personnel Officer) (Authorized Officer)

______________________________________________________________________________
7.c. APPROVED FOR: DISAPPROVED DUE TO:
_______ days with pay
_______ days without pay
_______ days others (specify)

__________________________________
Signature
 APPLICATION FOR LEAVE

CSC Form 6
Revised 1984
1. OFFICE/AGENCY : NAME (LAST) (FIRST) (MIDDLE)
ORCDS, PRO2 LIM GREGORIO NOTO
___________________________________________________________________________
3. DATE OF FILING 4. POSITION 5. SALARY (MONTHLY)
November 10, 2014 RCDS

6. a. TYPE OF LEAVE c. WHERE LEAVE WILL BE SPENT

( ) Vacation Leave ( ) IN CASE OF VACATION LEAVE
( ) Sick Leave ( / ) Within the Philippines
( ) Mandatory Leave ( ) Abroad (specify) ________________________
( / ) Special Privilege Leave
( ) Maternity Leave ( ) IN CASE OF SICK LEAVE
( ) Paternity Leave ( ) In Hospital (Specify) _______________
( ) Others: ( ) Out Patient (Specify) _______________
__________________________________________________________________________

6.b. NUMBER OF WORKING DAYS d. COMMUTATION

APPLIED FOR: ( / ) A. Requested ( ) B. Not Requested

Three (3) Days

Inclusive dates:

November 17-19, 2014

________________________
(Signature of Applicant)
Address: San Jose Del Monte, Bulacan & Metro Manila
_____________________________________________________________________________

DETAILS OF ACTION ON APPLICATION

7.a. CERTIFICATE OF LEAVE CREDITS 7.b: RECOMMENDATION

As of ________________________ ( ) Approved
---------------------------------------------------- ( ) Disapproved due to
Vacation Sick Total

----------------------------------------------------

_______________________ __________________
(Personnel Officer) (Authorized Officer)

______________________________________________________________________________
7.c. APPROVED FOR: DISAPPROVED DUE TO:
_______ days with pay
_______ days without pay
_______ days others (specify)
__________________________________
Signature