CSC Form 6

Revised 1998

APPLICATION FOR LEAVE

1. Office/Agency/School 2. Name (Last) (First) (Middle)
DepEd
Mexico West GOMEZ SHARON PANGANIBAN
3. Date of Filing 4. Position: 5. Salary

7/22/2019 Teacher - I 20 754

DETAILS OF APPLICATION
6. A) Type of Leave 6.B) Where Leave will be spent:
Vacation 1. In case of Vacation Leave
To seek employment Within the Philippines
Others (Specify) Abroad (Specify)

Sick 2. In case of Sick Leave

Maternity In hospital (Specify)
Others (Specify)
PERSONAL

6. C) Number of Working Days applied for: 6.D) Commutation

2 DAYS Requested Not Requested

Inclusive Dates
July 22-23,2019 Signature of Applicant

DETAILS OF ACTION ON APPLICATION

7.A) Certification of Leave Credits 7.B) Recommendation:
as of Approved
Disapproved due to
Vacation Sick Total

days days days

JB B. MANALANG BARBARA M. CADIANG

Administrative Officer IV Principal IV
7.C) Approved for: 7.D) Disapproved due to:

days with pay

days without pay

Signature

LEONARDO C. CANLAS, Ed.D.,CESE

Assistant Schools Division Superintendent (ELEMENTARY)
Date:
CSC Form 6
Revised 1998

APPLICATION FOR LEAVE

1. Office/Agency/School 2. Name (Last) (First) (Middle)
DepEd
Mexico West Mangilit Jeremiah Amurao
3. Date of Filing 4. Position: 5. Salary

9/16/2019 Teacher I P22,754

DETAILS OF APPLICATION
6. A) Type of Leave 6.B) Where Leave will be spent:
 Vacation 1. In case of Vacation Leave
To seek employment Within the Philippines
Others (Specify)  Abroad (Specify)
Vacation Leave Kowloon, Hongkong
Sick 2. In case of Sick Leave
Maternity In hospital (Specify)
Others (Specify)

6. C) Number of Working Days applied for: 6.D) Commutation

7 Days Vacation Leave  Requested Not Requested

Inclusive Dates
April 27, 2020- May 03, 2020 Signature of Applicant

DETAILS OF ACTION ON APPLICATION

7.A) Certification of Leave Credits 7.B) Recommendation:
as of Approved
Disapproved due to
Vacation Sick Total

days days days

JB B. MANALANG LEONARDO D. ZAPANTA, Ed.D., CESO VI

Administrative Officer IV Schools Division Superintended
7.C) Approved for: 7.D) Disapproved due to:

days with pay

days without pay

Recommending Approval:

NICOLAS T. CAPULONG, Ph.D., CESO V

Regional Director
Date: