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Details of Application: Quality Form

This document is an application for leave submitted by a teacher to their school. The teacher is applying for sick leave from February 6, 2020 due to fever. The application details the teacher's position, the type of leave requested, and the number of working days for the leave. It also includes certifications of the teacher's leave credits from the administrative officer and a recommendation and approval from the school head and superintendent authorizing the sick leave.

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Caleb Biag
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85 views1 page

Details of Application: Quality Form

This document is an application for leave submitted by a teacher to their school. The teacher is applying for sick leave from February 6, 2020 due to fever. The application details the teacher's position, the type of leave requested, and the number of working days for the leave. It also includes certifications of the teacher's leave credits from the administrative officer and a recommendation and approval from the school head and superintendent authorizing the sick leave.

Uploaded by

Caleb Biag
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Document Code: SDO-QF-SDOP-PER-17

Quality Form Revision: 00

Effectivity date: 05-25-2018


Name of Office:
APPLICATION FOR LEAVE SDOP-PER

CSC FORM 6
1.OFFICE / AGENCY 2. NAME (LAST) (FIRST) (MI)
STA. JULIANA HIGH SCHOOL
(OHS-ANNEX)

2. Date of Filing: February 3, 2020 3. Position: Teacher II Salary: 22 938

DETAILS OF APPLICATION
5.a) TYPE OF LEAVE 6. WHERE LEAVE WILL BE SPENT
_______ Vacation a) IN CASE OF VACATION LEAVE
_______ To seek employment _________Within the Philippines
Others (Specify) _________ _________ Abroad (Specify)

b) IN CASE IF SICK LEAVE


_______ In Hospital (Specify
_______ Sick/ WITH FEVER _______ Out-patient (Specify)
_______ Maternity
_______ Family Matters ____________________________

b) NUMBER OF WORKING DAYS COMMUTATION:


APPLIED FOR:
_____ requested _____not requested
INCLUSIVE DAYS: February 6, 2020
_______________________
Signature of Applicant Emp. No. 5386839

DETAILS OF APPLICATION
7. (a) CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION
As of _________________________
_______ APPROVAL
Vacation Sick Total _______ DISAPPROVAL due to _____
_________________________
_________________________

JOVITA G. DIZON LIEZL M. SANCHEZ


Administrative Officer V SCHOOL HEAD
a7. c) APPROVED FOR : 7. (d) DISAPPROVED

_________ Days with pay


_________ Days without pay
_________ Others (Specify)
RONALDO A. POZON, Ph. D. CESO V
Officer-In-Charge
Schools Division Superintendent
Authorized Official

QM - Page 1 of 1

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