DEPARTMENT OF EDUCATION

Region X - Northern Mindanao

DIVISION OF BUKIDNON
Sumpong, Malaybalay City
www.depedbukidnon.net.ph
APPLICATION FOR LEAVE
CSC Form 6
(Revised 2015)
1. Office/Agency Employee ID/Number:
DepED - Division of Bukidnon School/Office: DISTRICT II BAUNGON
District: BAUNGON II
Employee Contact Number: 9.35E+09

2. NameLAURIO SYREL MAGNO

(Last Name) (First Name) (Middle Name)

3. Date of Filing: 4. Position: Administrative Asssitant III

OCTOBER 31,2018 5. Monthly Salary: ###

6. a. Type of Leave 6.b. Where leave will be spent in case of Vacation Leave?
Vacation Leave
To seek employment
Forced Leave
Sick Leave In case of Sick Leave, please specify the place of recovery.
Maternity Leave
Others (Please specify)

Commutation Requested
7. Number of working days applied: Not Requested
Inclusive dates:
SYREL M. LAURIO
(Signature over Printed Name of Employee)

LEO S. MOLINA
(Signature over Printed Name of Immediate Head)

DETAILS OF ACTION ON APPLICATION

7. A. Certification of Leave Credits 7. B. Recommendation
Vacation Leave Total Leave Vacation Leave Total Leave
Credits
Sick Leave Credits Credits
Sick Leave Credits
Credits Credits

KATHLEEN ANN. T. DUMAS

Administrative Officer V
7. C. APPROVED FOR: 7. D. DISAPPROVED due to:

days with pay

days without pay

EDGARDO V. ABANIL
Assistant Schools Division Superintendent
1. Application for vacation or sick leave for one full day or more shall be made on this form and to be accomplished in four copies.
2. Application for vacation leave shall be filed in advance. In case of sick leave exceeding five days shall be accompanied with medical certificate.
3. An employee who is absent without approved leave shall not be entitled to receive his salary corresponding the period his authorized leave of absence.
 DEPARTMENT OF EDUCATION
Region X - Northern Mindanao
DIVISION OF BUKIDNON
Sumpong, Malaybalay City
www.depedbukidnon.net.ph
APPLICATION FOR LEAVE
CSC Form 6
(Revised 2015)
1. Office/Agency Employee ID/Number:
DepED - Division of Bukidnon School/Office: BAUNGON NATIONAL HIGH SCHOOL-DANATAG ANNEX
District: BAUNGON II
Employee Contact Number:

2. NameRAMOS RUEL
(Last Name) (First Name) (Middle Name)

3. Date of Filing: 4. Position: Administrative Asssitant II

OCTOBER 31,2018 5. Monthly Salary:

6. a. Type of Leave 6.b. Where leave will be spent in case of Vacation Leave?
Vacation Leave
To seek employment
Forced Leave
Sick Leave In case of Sick Leave, please specify the place of recovery.
Maternity Leave
Others (Please specify)

Commutation Requested
7. Number of working days applied: Not Requested
Inclusive dates:
RUEL RAMOS
(Signature over Printed Name of Employee)

LEO S. MOLINA
(Signature over Printed Name of Immediate Head)

DETAILS OF ACTION ON APPLICATION

7. A. Certification of Leave Credits 7. B. Recommendation
Vacation Leave Total Leave Vacation Leave Total Leave
Credits
Sick Leave Credits Credits
Sick Leave Credits
Credits Credits

KATHLEEN ANN. T. DUMAS

Administrative Officer V
7. C. APPROVED FOR: 7. D. DISAPPROVED due to:

days with pay

days without pay

EDGARDO V. ABANIL
Assistant Schools Division Superintendent
1. Application for vacation or sick leave for one full day or more shall be made on this form and to be accomplished in four copies.
2. Application for vacation leave shall be filed in advance. In case of sick leave exceeding five days shall be accompanied with medical certificate.
3. An employee who is absent without approved leave shall not be entitled to receive his salary corresponding the period his authorized leave of absence.