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DEPARTMENT OF EDUCATION
Regional Office No. 02 (Cagayan Valley)
SCHOOLS DIVISION OFFICE OF CAGAYAN
Regional Government Center, Carig Sur, Tuguegarao City, 3500
It is hereby made a matter of record that the employee named below has been granted
MATERNITY LEAVE OF ABSENCE.
DENIZON P. DOMINGO
OIC- Schools Division Superintendent
Copy furnished:
___Payroll Services Unit (PSU)
DepEd Region 02
___The School Heads
___Person concerned
DPD/JGT/RCB/jim
It is hereby made a matter of record that the employee named below has been granted
LEAVE OF ABSENCE.
1. NAME:
2. POSITION:
3. EMPLOYEE NO: STATION:
4. SALARY PER ANNUM: P STATION CODE:
5. STATUS OF POSITION:
6. APPOINTMENT AS PERMANENT SINCE:
7. APPOINTMENT AS PROVISIONAL SINCE:
8. NATURE OF LEAVE: EFFECTIVE DATE:
9. INCLUSIVE PERIOD OF LEAVE:
10. LAST DAY OF LEAVE WITH PAY:
11. WITHOUT PAY:
12. MATERNITY LEAVE:
c. ________________FULL PAY___________________HALF PAY
d. ________________PROPORTIONAL MATERNITY PAY____________
DENIZON P. DOMINGO
OIC- Schools Division Superintendent
Copy furnished:
___Payroll Services Unit (PSU)
DepEd Region 02
___The School Heads
___Person concerned