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CSC Form No. 6 (Revised 1994)

CSC Form No. 6 (Revised 1994). APPLICATION FOR LEAVE. 1. OFFICE / AGENCY 2. NAME (Last) (First) (Middle). Bureau of Internal Revenue. 3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)

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CSC Form No. 6 (Revised 1994)

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  1. CSC Form No. 6 (Revised 1994) APPLICATION FOR LEAVE 1. OFFICE / AGENCY 2. NAME (Last) (First) (Middle) Bureau of Internal Revenue 3. DATE OF FILING 4. POSITION 5. SALARY (Monthly) 6. (a) TYPE OF LEAVE 6. (b) WHERE LEAVE WILL BE SENT: [ ] Vacation (1) IN CASE OF VACATION LEAVE [ ] Within the Philippines [ ] Abroad (Specify) (2) IN CASE OF SICK LEAVE [ ] In Hospital (Specify) [ ] Out Patient (Specify) 6. (d) COMMUTATION [ ] Requested [ ] Not requested DETAILS OF APPLICATION [ ] To seek employment [ ] Others (Specify) [ ] Sick [ ] Maternity [ ] Others (Specify) 6. (c) NUMBER OF WORKING DAYS APPLIED FOR INCLUSIVE DATES Signature of Applicant DETAILS OF APPLICATION 7. (a) CERTIFICATION OF LEAVE CREDITS as of 7. (b) RECOMMENDATION [ ] Approval [ ] Disapproval due to Vacation Sick Total Days Days Days Personnel Officer 7. (c) APPROVED FOR: 7. (d) APPROVED DUE TO: Days with pay Days without pay Days with pay (Signature) (Authorized Official)

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