CSC Form 6

REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

BARANGAY CAMBARO DOMOCOL MARIA VERONICA NARSICO

3. Date of Filling 4. Position 5. Salary/Monthly

December 2, 2018 BARANGAY SECRETARY ON FILE

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

Vacation (1) In case of Leave will be spent:

To seek Employment Within Philippines
Other (Specify) Abroad (specify)
Forced Leave Singapore - Malaysia

Sick Leave (2) In case of Sick Leave:

In Hospital (Specify)
Paternity Leave

X Other (Specify) Out Patient (Specify)

Vacation Leave

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

Requested
Inclusive Dates: Not Requested
December 18 - 21, 2019

Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of Approval
Disapproval due to:
Vacation Sick Total

Days Days

Mr. Desiderio Alfanta

Brgy. Treasurer

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify) MARIA CELMA C. SANCHEZ
Punong Barangay
CSC Form 6
REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

3. Date of Filling 4. Position 5. Salary/Monthly

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ XXX / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Paternity Leave

/ / Other (Specify) / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

/ / Requested
Inclusive Dates: / / Not Requested

Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

Barangay Secretary Barangay Captain

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

CSC Form 6
REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

OFFICE OF THE CITY ACCOUNTANT CAPA, ROBERT C.

3. Date of Filling 4. Position 5. Salary/Monthly

October 8, 2001 Sec. Agent I

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ XXX / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Paternity Leave

/ / Other (Specify) / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

Five (5) days / / Requested
Inclusive Dates: / / Not Requested
Oct. 17,18 & 19, 2001

ROBERT C. CAPA
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

TERESITA C. MANGUMPIT ELISEO A. LEDESMA

City Gov't Head III (HRMO) City Accountant

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

THADEO Z. OUANO
City Mayor

CSC Form 6
REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

OFFICE OF THE CITY ACCOUNTANT COLLANTO, ARACELI B.

3. Date of Filling 4. Position 5. Salary/Monthly

April 17, 2000 BOOKKEEPER P 7,540.00

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Maternity Leave

/ XXX / Other (Specify)/ ENROLLMENT LEAVE / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

One (1) day / / Requested
Inclusive Dates: / / Not Requested
May 5, 2000

ARACELI B. COLLANTO
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

TERESITA C. MANGUMPIT ELISEO A. LEDESMA

City Gov't Head III (HRMO) Acting, City Accountant

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

THADEO Z. OUANO
City Mayor

CSC Form 6
REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

OFFICE OF THE CITY ACCOUNTANT FRIAS, RICHARD T.

3. Date of Filling 4. Position 5. Salary/Monthly

April 17, 2000 CLERK III P 6,585.00

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ XXX / Other (Specify)/RELOCATION LEAVE / / Abroad (specify)
/ / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Maternity Leave

/ XXX / Other (Specify)/ ENROLLMENT LEAVE / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

Two (2) days / / Requested
Inclusive Dates: / / Not Requested
May 8, 2000 (enrollment leave)
May 9, 2000 (relocation leave)
RICHARD T. FRIAS
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

TERESITA C. MANGUMPIT ELISEO A. LEDESMA

City Gov't Head III (HRMO) Acting, City Accountant

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)
THADEO Z. OUANO
City Mayor
CSC Form 6
REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

Accounting Office Emperatriz C

3. Date of Filling 4. Position 5. Salary/Monthly

October 18,2010 Brgy. Bookkeeper 12,607.00

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ / Forced Leave

/XXX/ Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Paternity Leave

/ / Other (Specify) / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

three (3) Days / / Requested
Inclusive Dates: / / Not Requested
October 8,11 & 12,2010

Emperatriz C. Barrega
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

ADA I. CAPIROL EVELLA T. SARAUM

Brgy. Treasurer Brgy. Secretary

7.c) APPROVED FOR:

3 Day/s with pay
Day/s w/out pay
Others (specify)

NELSON M. RUBIO SR.

Barangay Captain
CSC Form 6
REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

3. Date of Filling 4. Position 5. Salary/Monthly

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ XXX / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Paternity Leave

/ / Other (Specify) / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

/ / Requested
Inclusive Dates: / / Not Requested

Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

Barangay Secretary Barangay Captain

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

CSC Form 6
REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

OFFICE OF THE CITY ACCOUNTANT CAPA, ROBERT C.

3. Date of Filling 4. Position 5. Salary/Monthly

October 8, 2001 Sec. Agent I

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ XXX / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Paternity Leave

/ / Other (Specify) / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

Five (5) days / / Requested
Inclusive Dates: / / Not Requested
Oct. 17,18 & 19, 2001

ROBERT C. CAPA
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

TERESITA C. MANGUMPIT ELISEO A. LEDESMA

City Gov't Head III (HRMO) City Accountant

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

THADEO Z. OUANO
City Mayor

CSC Form 6
REVISED 1984
APPLICATION FOR LEAVE
1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

OFFICE OF THE CITY ACCOUNTANT COLLANTO, ARACELI B.

3. Date of Filling 4. Position 5. Salary/Monthly

April 17, 2000 BOOKKEEPER P 7,540.00

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Maternity Leave

/ XXX / Other (Specify)/ ENROLLMENT LEAVE / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

One (1) day / / Requested
Inclusive Dates: / / Not Requested
May 5, 2000

ARACELI B. COLLANTO
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

TERESITA C. MANGUMPIT ELISEO A. LEDESMA

City Gov't Head III (HRMO) Acting, City Accountant

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

THADEO Z. OUANO
City Mayor

CSC Form 6
REVISED 1984
APPLICATION FOR LEAVE
1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

OFFICE OF THE CITY ACCOUNTANT FRIAS, RICHARD T.

3. Date of Filling 4. Position 5. Salary/Monthly

April 17, 2000 CLERK III P 6,585.00

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ XXX / Other (Specify)/RELOCATION LEAVE / / Abroad (specify)
/ / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Maternity Leave

/ XXX / Other (Specify)/ ENROLLMENT LEAVE / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

Two (2) days / / Requested
Inclusive Dates: / / Not Requested
May 8, 2000 (enrollment leave)
May 9, 2000 (relocation leave)
RICHARD T. FRIAS
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

TERESITA C. MANGUMPIT ELISEO A. LEDESMA

City Gov't Head III (HRMO) Acting, City Accountant

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

THADEO Z. OUANO
City Mayor
5. Salary/Monthly
5. Salary/Monthly
5. Salary/Monthly
5. Salary/Monthly

ARACELI B. COLLANTO
5. Salary/Monthly
CSC Form 6
REVISED 1984

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

3. Date of Filling 4. Position 5. Salary/Monthly

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / To seek Employment (1) In case of Leave will be spent:

/ / BIRTHDAY LEAVE / / Within Philippines
/ / Forced Leave

/ / Sick Leave
/ / Maternity Leave (3) In case of Sick Leave:
/ / In Hospital (Specify)
/ / Monetization

/ / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

/ / Requested
/ / Not Requested
Inclusive Dates:###

SIGNATURE

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

Supervising Admin. Officer OIC, City Accountant

7.c) APPROVED FOR:

1 Day/s with pay
Day/s w/out pay
Others (specify)

Asst.City Administrator

CSC Form 6
REVISED 1984
APPLICATION FOR LEAVE
1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

OFFICE OF THE CITY ACCOUNTANT BARREGA, EMPERATRIZ .C.

3. Date of Filling 4. Position 5. Salary/Monthly

February 3, 2009 ADMINISTRATIVE ASST. II Php 11,348.00

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / Maternity Leave / / In Hospital (Specify)

/ X / Other (Specify)
MONETIZATION LEAVE / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

15 DAYS / / Requested
Inclusive Dates: / / Not Requested

EMPERATRIZ C. BARREGA
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

DINAH J. DEJORAS ATTY. ERNESTO C. MARINGURAN

Supervising Admin. Officer OIC, City Accountant

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

EUTIQUIO S. SANCHEZ
Asst. City Administrator

CSC Form 6
REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

ACCOUNTING OFFICE MONDIGO EVELYN B

3. Date of Filling 4. Position 5. Salary/Monthly

October 29, 2008 ADMINISTRATIVE ASST. II Php11,348.00/mo.

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ / Forced Leave

/ X / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Maternity Leave

/ / Other (Specify) / / Out Patient (Specify)

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

One (1) day / / Requested
Inclusive Dates: / / Not Requested
Oct. 28, 2008

EVELYN B. MONDIGO
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

DINAH J. DEJORAS ATTY. ERNESTO C. MARINGURAN

Supervising Admin. Officer OIC, City Accountant

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

EUTIQUIO S. SANCHEZ
Asst. City Administrator

CSC Form 6
REVISED 1984

APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME ( Last ) ( First ) ( Middle )

Office of the City Accountant PONO , CECILE M.

3. Date of Filling 4. Position 5. Salary/Monthly

January 12, 2009 Administrative Aide I Php 6,788.00/mo.

DETAILS OF APPLICATION
6.a) Type of Leave: 6.b) where Leave will be spent:

/ / Vacation (1) In case of Leave will be spent:

/ / To seek Employment / / Within Philippines
/ / Other (Specify) / / Abroad (specify)
/ / Forced Leave

/ / Sick Leave (3) In case of Sick Leave:

/ / In Hospital (Specify)
/ / Maternity Leave

/ X / Other (Specify) / / Out Patient (Specify)

VACATION LEAVE

6.c) NUMBER OF DAYS APPLIED FOR: 6.d) COMMUTATION

3 Days / / Requested
Inclusive Dates: / / Not Requested
January 20, 21 & 22, 2009

CECILE M. PONO
Signature

7.a) CERTIFICATION OF LEAVE CREDITS: 7.b) RECOMMENDATION:

As of / / Approval
/ / Disapproval due to:
Vacation Sick Total

Days Days

DINAH J. DEJORAS ATTY. ERNESTO C. MARINGURAN

Supervising Admin. Officer OIC, City Accountant

7.c) APPROVED FOR:

Day/s with pay
Day/s w/out pay
Others (specify)

EUTIQUIO S. SANCHEZ
Asst. City Administrator