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Application For Leave: Republic of The Philippines Province of Bohol Municipality of Garcia-Hernandez

Zenaida O. Abucejo from the Municipal Health Office in Garcia-Hernandez, Bohol, Philippines has applied for 1 day of sick leave on April 23, 2019. Her application was approved by Dr. Enriqueto L. Acenas, the Municipal Health Officer. It was also approved by Hon. Tita V. Baja-Gallentes, the Municipal Mayor. The application follows the proper form and process for requesting sick leave according to the policies of the municipality.

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Fatima Niña Jamero
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50 views

Application For Leave: Republic of The Philippines Province of Bohol Municipality of Garcia-Hernandez

Zenaida O. Abucejo from the Municipal Health Office in Garcia-Hernandez, Bohol, Philippines has applied for 1 day of sick leave on April 23, 2019. Her application was approved by Dr. Enriqueto L. Acenas, the Municipal Health Officer. It was also approved by Hon. Tita V. Baja-Gallentes, the Municipal Mayor. The application follows the proper form and process for requesting sick leave according to the policies of the municipality.

Uploaded by

Fatima Niña Jamero
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Republic of the Philippines CSC Form No.

6
Province of Bohol Revised 1998
Municipality of Garcia-Hernandez

APPLICATION FOR LEAVE


1. Office/Agency 2. Name (Last) (First) (Middle)
Municipal Health Office
3. Date of Filing 4. Position 5. Salary

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 Leave 2. In case of Sick Leave


Maternity In Hospital (Specify)
Others (Specify)
Out Patient (Specify)

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


√ Requeste Not Requested

Inclusive Dates
Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of

Vacation Sick Total Approved


Disapproved due to:
days days days
Balance After This Application

days days days

DR. ENRIQUETO L. ACENAS


PRIMA P. IDO Municipal Health Officer
Human Resource Management Officer-Designate Department/Section Head
(Authorized Official)
7. C) Approved for: 7. D) Disapproved due to:
Days with pay
Days without pay
Others (Specify):

HON. TITA V. BAJA-GALLENTES


(Date) Municipal Mayor

1. Application for vacation leave or sick leave for one full day or more shall be made on this form and to be accomplished at least in duplicate.
2. Application for vacation leave shall be filed in advance or whenever possible, five (5) days before going on such leave.
3. Application for sick leave filed in advance exceeding five (5) days shall be accompanied by a medical certificate in case medical consultation was not availed.
4. An employee who is absent without approved leave shall not be entitled to receive his salary corresponding to the period of his unauthorized leave of absence.
5. An Application for leave of absence for thirty (30) days or more shall be accompanied by a medical certificate.
ave of absence.
Republic of the Philippines CSC Form No. 6
Province of Bohol Revised 1998
Municipality of Garcia-Hernandez

APPLICATION FOR LEAVE


1. Office/Agency 2. Name (Last) (First) (Middle)
Municipal Health Office ABUCEJO ZENAIDA O.
3. Date of Filing 4. Position 5. Salary
04/24/2019 PHN II
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 Leave 2. In case of Sick Leave


Maternity In Hospital (Specify)
Others (Specify)
Out Patient (Specify)

6. C) Number of Working Days app 1 Day 6. D) Commutation


√ Requeste Not Requested
April 23, 2019
Inclusive Dates
Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of

Vacation Sick Total Approved


Disapproved due to:
days days days
Balance After This Application

days days days

DR. ENRIQUETO L. ACENAS


PRIMA P. IDO Municipal Health Officer
Human Resource Management Officer-Designate Department/Section Head
(Authorized Official)
7. C) Approved for: 7. D) Disapproved due to:
Days with pay
Days without pay
Others (Specify):

HON. TITA V. BAJA-GALLENTES


(Date) Municipal Mayor

1. Application for vacation leave or sick leave for one full day or more shall be made on this form and to be accomplished at least in duplicate.
2. Application for vacation leave shall be filed in advance or whenever possible, five (5) days before going on such leave.
3. Application for sick leave filed in advance exceeding five (5) days shall be accompanied by a medical certificate in case medical consultation was not availed.
4. An employee who is absent without approved leave shall not be entitled to receive his salary corresponding to the period of his unauthorized leave of absence.
5. An Application for leave of absence for thirty (30) days or more shall be accompanied by a medical certificate.
ave of absence.

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