HOURS 11

1.000

MINUTES 59
0.123

TOTAL 1.123

Minutes Equiv. Days Hrs. Equiv. Days

1 0.002 1 0.125
2 0.004 2 0.250
3 0.006 3 0.375
4 0.008 4 0.500
5 0.010 5 0.625
6 0.012 6 0.750
7 0.015 7 0.875
8 0.017 8 1.000
9 0.019
10 0.021
11 0.023
12 0.025
13 0.027
14 0.029
15 0.031
16 0.033
17 0.035
18 0.037
19 0.040
20 0.042
21 0.044
22 0.046
23 0.048
24 0.050
25 0.052
26 0.054
27 0.056
28 0.058
29 0.060
30 0.062
31 0.065
32 0.067
33 0.069
34 0.071
35 0.073
36 0.075
37 0.077
38 0.079
39 0.081
40 0.083
41 0.085
42 0.087
43 0.090
44 0.092
45 0.094
46 0.096
47 0.098
48 0.100
49 0.102
50 0.104
51 0.106
52 0.108
53 0.110
54 0.112
55 0.115
56 0.117
57 0.119
58 0.121
59 0.123
60 0.125
 Leave Credits
CY 2018

Beginning Balance Leave Application

Name of Employee RC Position
SL VL SL
1 Grace Tiongson (jun.) IAD IA Assisstant 1.416 1.355 16.000
2 Grace Tiongson (jul.) 1.666 1.278 5.000
3 Grace Tiongson (aug.) 1.916 1.353 5.000
4 Marcelo, Karen Jaide (jun.) IAD IA III 1.750 1.283 1.000
5 Marcelo, Karen Jaide (jul.) 2.000 2.218
6 Marcelo, Karen Jaide (aug.) 3.250 1.345 3.000
7 Sueno, Jocelyn (jun.) IAD IA II 150.167 127.968
8 Sueno, Jocelyn (jul.) 151.417 129.218
9 Sueno, Jocelyn (aug.) 152.667 130.468
10 Egagamao, Romeo (jun.) IAD IA IV 31.239 24.354 1.000
11 Egagamao, Romeo (jul.) 31.489 24.394 1.000
12 Egagamao, Romeo (aug.) 31.739 24.298
13 Evora, Jehan (jun.) IAD IA II 28.208 26.064
14 Evora, Jehan (jul.) 29.458 27.314
15 Evora, Jehan (aug.) 30.708 28.564
16 Aritao, Carrie Ann (jun.) IAD IA II 1.416 1.328
17 Aritao, Carrie Ann (jul.) 2.666 2.063 1.000
18 Aritao, Carrie Ann (aug.) 2.916 1.313 3.000
19 Libao, Dennis (jun.) IAD IA II 5.000 16.627 1.000
20 Libao, Dennis (jul.) 5.250 17.877 2.000
21 Libao, Dennis (aug.) 4.500 17.606 1.000
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
 91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
 Leave
Leave Application Applicatio HR Deduction Remaining Balance Remaing VL Leave w/o
Total T/U
VL n SL VL SL VL less T/U Pay
0.000 16.000 1.000 1.000 0.416 0.355 0.327 0.028 14.000
5.000 1.000 1.000 0.666 0.278 0.175 0.103 3.000
5.000 1.000 1.000 0.916 0.353 0.215 0.138 3.000
1.000 1.000 0.750 1.283 0.315 0.968 0.000
11.000 11.000 2.000 2.000 0.218 0.123 0.095 9.000
3.000 2.000 1.250 1.345 0.679 0.666 1.000
0.000 150.167 127.968 127.968 0.000
0.000 151.417 129.218 129.218 0.000
0.000 152.667 130.468 130.468 0.000
1.000 1.000 30.239 24.354 1.210 23.144 0.000
1.000 1.000 30.489 24.394 1.346 23.048 0.000
0.000 31.739 24.298 1.871 22.427 0.000
0.000 28.208 26.064 26.064 0.000
0.000 29.458 27.314 27.314 0.000
0.000 30.708 28.564 28.564 0.000
0.000 1.416 1.328 0.515 0.813 0.000
2.000 3.000 1.000 2.000 1.666 0.063 0.063 0.000
3.000 2.000 1.000 0.916 0.313 0.306 0.007 0.000
1.000 1.000 4.000 16.627 16.627 0.000
2.000 2.000 3.250 17.877 1.521 16.356 0.000
1.000 1.000 3.500 17.606 0.331 17.275 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.000 0.000 0.000
Ending Balance
Remarks
SL VL
1.666 1.278
1.916 1.353 sl 1.874 , vl 1.311 ; added 1.208
2.166 1.388
2.000 2.218
3.250 1.345 sl 2.875 , vl .970 ; added .875
2.500 1.916 sl 2.125 , vl 1.541
151.417 129.218
152.667 130.468
153.917 131.718
31.489 24.394
31.739 24.298
32.989 23.677 vl 25.677
29.458 27.314
30.708 28.564
31.958 29.814
2.666 2.063 pl1
2.916 1.313
2.166 1.257
5.250 17.877
4.500 17.606 spl1
4.750 18.525
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
1.250 1.250
 Leave Monetization

Total Leave Credits before

Monetization

Date of Name of
RC Position Basic Pay VL SL
Application Employee

1 Mr. X IAD IA II 30,000.00 35.000 30.000

2 Mrs. L IAD IA III 40,000.00 50.000 100.000
3 Mr. M IAD IA IV 50,000.00 120.000 110.000
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
eave Credits before
Leave Monetization Total Leave Credits after Monetization
Monetization

In Excess of Amount of
50% of Availed Leave VL SL
Total Leave 50% Total Leave
Total Leave Monetization Deduction Deduction
Leave Monetizaton

65.000 32.500 50 -17.500 72,289.05 35.000 15.000

150.000 75.000 30 45.000 57,831.24 30.000
230.000 115.000 116 -1.000 279,517.66 116.000
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
0.000 0.000 0.000 -
eave Credits after Monetization

VL SL
(remaining (remaining
Remarks
leave leave
credits) credits)

0.000 15.000
20.000 100.000
4.000 110.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
 SICK LEAVE
15 DAYS - CUMULATIVE
PERSONNEL INFO

Date Filed No. of Days

Name of Employee RC Position (upon return
to work) of Leave

1 Tiongson, Mary Grace IAD IA Assistant 6/28/2018 1

2 6/28/2018 15
3 Egagamao, Romeo IAD IA IV 6/28/2018 1
4 Marcelo, Karen Jaide IAD IA III 6/13/2018 1
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LEAVE REQUIREMENTS
OPR for Approval
Supporting
Date Inclusive Reason Documents (Medical
HRSDM DIV. M DM Cert. if in excess of 5days
SL)

27-Jun-18 attended son for therapy y y y n/a

june 4-8, 11, 13, 14,
18-22, 25-26 gout and others y y y medical certificate
27-Jun-18 muscle pain y y y n/a
11-Jun-18 sick mother y y y n/a
Remarks
 VACATION LEAVE
15 DAYS - CUMULATIVE
PERSONNEL INFO

Date Filed No. of

Name of Employee RC Position (3 days before the Days of
date of leave) Leave

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LEAVE REQUIREMENTS
OPR for Approval

Date Inclusive Reason Supporting Documents

HRSDM DIV. M DM
Remarks
 FORCED LEAVE
5 DAYS
PERSONNEL INFO

Date Filed No. of Days

Name of Employee RC Position (3 days before the
date of leave) of Leave

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LEAVE REQUIREMENTS
OPR for Approval
Supporting
Date Inclusive Reason
HRSDM DIV. M DM Documents
Remarks
 PRIVILEGE LEAVE
3 DAYS
PERSONNEL INFO

Date Filed No. of Days

Name of Employee RC Position (3 days before the
date of leave) of Leave

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LEAVE REQUIREMENTS
OPR for Approval
Supporting
Date Inclusive Reason
HRSDM DIV. M DM Documents
Remarks
 PERSONAL FOREIGN TRAVEL

PERSONNEL INFO

Name of Employee RC Position Date Filed

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LEAVE REQUIREMENTS
OPR for Approval
No. of Days
Date Inclusive Reason
of Leave HRSDM DIV. M DM
Supporting
Remarks
Documents
 MATERNITY LEAVE
60 DAYS
PERSONNEL INFO
Type of Employee
Gov't. Length
Name of Employee RC Position of Service
(check service P T E A
record or pds)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Conditions:
a) 2 or more years - 60 days full pay no. of days in the
Entitled (Government Service X = -------------------------
Rendered) b) 1 year or more but less than 2 years - formula:
12
c) less than 1 year - 60 days half pay

Manner of Availment Should be availed before or after the actual period of delivery in a continuous man

Cut-off Maternity Leave May go on maternity leave for less than sixty (60) days - presents a medical certifi

Terminated Employee Leave with pay may be granted even if delivery occurs not more than 15 calendar

Can still avail of sixty (60)

days maternity leave with
On Extended Leave w/out Pay pay.
Pending Admin Case
Contractual Employees
 LEAVE REQUIREMENTS
of Employee OPR for Approval
No. of Days Date Inclusive (should
Date Filed Reason
C of Leave be in a continues manner) HRSDM

no. of days in the service

X = ------------------------------------
12

delivery in a continuous manner. Can be availed more than once a year.

- presents a medical certificate that she is physically fit

not more than 15 calendar days after the termination of an employee’s service
REMENTS
OPR for Approval
Supporting
Documents (Medical Remarks
DIV. M DM Cert. upon return to
work)
 PATERNITY LEAVE
7 DAYS
PERSONNEL INFO

Marriage
Name of Employee RC Position
Certificate

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Conditions:
Entitled Married male employee is entitled to paternity leave for the first four (4) deliveries

Manner of Availment a) Should be availed immediately before, during and after the childbirth or miscarri
b) Said leave shall be availed of not later than sixty (60) days after the date of the ch
c) May be enjoyed either in a continuous or in an intermittent manner.

Docs Needed Leave application mus include any applicable or all of the following suporting docs:
a) Birth Cert of Newly Born Child
b) Medical Cert duly signed by attending doctor or midwife showing actual date o f
c) In case of miscarriage, a Certified Pathology Report shall be submitted
d) In case of leave application before childbirth, a Medical Cert. signed by attending
 LEAVE REQUIREMENTS
OPR for Approv
Date Filed (shall
be availed not later
than 60days after No. of Days of Leave Date Inclusive Reason
HRSDM
child's delivery)

e first four (4) deliveries of his legitimate spouse with whom he is cohabiting.

the childbirth or miscarriage of his legitimate spouse.

ys after the date of the child’s delivery.
ent manner.

ollowing suporting docs:

showing actual date o f birth or miscarrige

be submitted
Cert. signed by attending doctor indicating expected date of birth shall also be submitted.
TS
OPR for Approval

Supporting
Remarks
DIV. M DM Documents
 SOLO PARENT LEAVE
7 DAYS
PERSONNEL INFO

Name of Employee RC Position Solo Parent I.D No.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Conditions:
I.D Card Secure a solo Parent Identification Card- valid for 1 year from issuance (renewable year

a) accomplished CS Form No. 6 (Leave Application Form)

Docs Needed b) Certified true copies of the Solo Parent ID and
c) Birth Certificate of the child/children or other requirements such as medical certifica

Reason for Leave 1.1.      attend to personal milestones of a child such as birthdays, first communion, grad
1.2.      perform parental obligations such as enrolment and attendance in school progra
1.3.      attend to medical, social, spiritual and recreational; needs of the child; and
1.4.      other similar circumstances necessary in the performance of parental duties and
HRMD Responsibility 1.1.      Evaluate the application for parental leave;
1.2.      Verify the authentication of the documents submitted;
1.3.      Monitor the status of the solo parent and conduct the necessary investigation to
1.4.      Ensure the proper implementation of the guidelines; and
1.5.      Record availment of parental leave.
 LEAVE REQUIREMENTS

Date Filed
Birth Certificate (1week prior to date
No. of Days of Leave Date Inclusive
of Child of leave, except
emergency cases)

1 year from issuance (renewable yearly)

equirements such as medical certificate, if necessary

uch as birthdays, first communion, graduations and other similar events;

lment and attendance in school programs, PTA meetings and the like;
reational; needs of the child; and
he performance of parental duties and responsibilities, where physical presence of a parent is required.
ts submitted;
conduct the necessary investigation to determine if grounds for termination and withdrawal of the benefit exist;
guidelines; and
 LEAVE REQUIREMENTS

OPR for Approval Supporting

Reason Documents Remarks
(copy of Solo Parent
HRSDM DIV. M DM I.D)

arent is required.
drawal of the benefit exist;
 ANTI-VIOLENCE LEAVE
10 DAYS
PERSONNEL INFO

Name of Employee RC Position

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Conditions:
a. any woman employee who is a victim of violence
Entitled
b. any woman whose child is a victim of violence- below 18 or above 18 but unable t

Manner of Availment May be availed either in a continuous or in an intermittent manner.

When to File shall be filed, whenever practicable, before the actual leave of absence or immediat

a) Barangay Protection Order (BPO)

Supporting Docs (any of the b) Temporary/Permanent Protection Order (TPO/PPO)
following) c) Certification that application for BPO, TPO or PPA has been filed
d) Police report and medical certificate - may be considered at the discretion of imm
 Extension May apply for extension and, for this purpose, use the other leave benefits provided

Admin Liability Official who denies the application for leave of a woman employee-victim of VAW, d
 LEAVE REQUIREMENTS
OPR for Approval
Date Filed
(whenever No. of Days of Leave Date Inclusive Reason
practicable) HRSDM

ence- below 18 or above 18 but unable to take care of himself/herself.

an intermittent manner.

the actual leave of absence or immediately upon the woman employee’s return from such leave.

O or PPA has been filed

y be considered at the discretion of immediate supervisor of employee.
se, use the other leave benefits provided under civil service rules and regulations.

of a woman employee-victim of VAW, despite submission of the BPO/TPO/PPO, shall be held liable for conduct prejudicial to the best inte
NTS
OPR for Approval
Supporting
Remarks
DIV. M DM Documents
ct prejudicial to the best interest of the service
 GYNECOLOGICAL LEAVE
60 DAYS
PERSONNEL INFO

Date Filed
(may be applied for
Name of Employee RC Position atleast 5 days prior No. of Days
to date of surgery or of Leave
upon return to
work)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Conditions:
Entitled (Government Service rendered at least six (6) months aggregate service in any or various government agencie
Rendered) for the last twelve (12) months prior to undergoing surgery for gynaecological disorders

Minor - Maximum period of recuperation of two (2) weeks

Major - Minimum period of recuperation of three (3) weeks to a maximum period of two

Manner of Availment Earned leave credits may be used for preparatory procedures and/or confinement prior

When to File May be applied for at least 5 days prior to the scheduled date of the surgery unless eme
 the said leave application shall be filed immediately upon the employee’s return from su

a. Leave application shall be accompanied by a medical certificate filled out by the prope
Docs Needed
b. Clinical summary reflecting the gynecological disorder.
c. Histopathological Report which has the following information:
- Operative technique used for the surgery
- Duration of the surgery including the peri-operative period (period of confinem
- Employee’s estimated period of recuperation for the surgery.

d. Upon return to work, medical certificate signed by her attending surgeon that she is p
 LEAVE REQUIREMENTS
Surgery of Gynecological
Documents Needed
Disorder

Date Inclusive Reason Notarized

Clinical
Minor Major Medical
Summary
Cert.

arious government agencies

or gynaecological disorders

o a maximum period of two (2) months.

s and/or confinement prior to the surgery

e of the surgery unless emergency,

 employee’s return from such leave

ficate filled out by the proper medical authorities. The certificate must be notarized.

e period (period of confinement around surgery)

nding surgeon that she is physically fit

E REQUIREMENTS
Documents Needed OPR for Approval
Date of Evaluation
Supporting
Histopathol Medical Report of Medical
Documents
ogical Cert. if fit to Practitioner HRSDM DIV. M DM
Report work
Remarks
 TERMINAL LEAVE

PERSONNEL INFO

Available
Leave Effectivity of
Name of Employee RC Position Date Filed Credits Retirement

2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 1 2

retirement
application/written does the HRMD processed all
intent at least 120 process and submit documentary
Mandatory (M) days prior to to the GM w/in 90 requirements within application for service
or Optional (O) retirement days 120 days retirement record
 LEAVE REQUIREMENTS
3&4 5 6 7 8 9 10 11 12 13

Notarized
Affidavit of
Undertaking
HO/PMO (for those
Clearance with declaration of
from money outstanding cert. of cert. of no csc clearance pendency/no- NOSA (For RA
& Property loan/account leave pending adm. (CSC MC 15- pendency of ombudsman 1616
Account abilities credits Case 2013) case clearance SALN PPA ID retirees/TL)
 14 15 16

forwarded by HO- computation based on

HRMD/PMO-RD w/in the highest monthly
Application
5 days after processed GSIS Clearance issued salary of the
Last for Terminal Leave and approved by the prior to the payment employee? (indicate
Appointment Leave cards GM? of Terminal Leave? Salary)
 RECOMMENDS

INITIATING
UNIT APPROVAL
TERMINAL APPROVAL
LEAVE

Remarks
RC/HRMD AGM GM
CONCERNED

PM CONCERNED GM
 SPECIAL EMERGENCY LEAVE
5 DAYS
PERSONNEL INFO

No. of
Name of Employee RC Position Date Filed Days
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LEAVE REQUIREMENTS
SUPPORTING DOCS

in case of extension
5 SEL approved by Is it approved by the
Date Inclusive Reason HRMD-M/PMO-M? Agency Head? SEL App
SUPPORTING DOCS

Brgy. Cert./any
proof that the
place is affected by
a calamity Remarks
 STUDY LEAVE
6 MONTHS

PERSONNEL INFO
CONDITIONS
have no
current
at least 2 foreign or
relevant to PPA yrs of local
or to Official service in scholarshi
Name of Employee RC Position duties? PPA? p grant?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LEAVE REQUIREMENTS
CONDITIONS OTHER DOCUMENTERY REQUIREM
LETTER OF
have fulfilled INTENT
service no pending SUBMITTED AT TRANSCRIPT
obligation of administrative have LEAST 60 DAYS OF
any previous and/or criminal permanent BEFORE START SCHOLASTIC COLLEGE UPDATED
scholarship? case appointment OF THE STUDY? RECORDS DIPLOMA PDS
 CERT. OF
LEAVE REQUIREMENTS COMPLETION OF
ACADEMIC
OTHER DOCUMENTERY REQUIREMENTS
REQUIREMENTS,
APPROVED
THESIS APPROVED SERVICE
CERT. OF NO PROPOSAL AND STUDY LEAVE & OBLIGATION
PENDING PROOF OF CLEARANCE SERVICE # OF DAYS FULFILLED BY
ADMIN/ ENROLMENT IN FROM THE RC OBLIGATION (MAX. 6 THE
CRIMINAL CASE THESIS WRITING HEAD CONTRACT MONTHS) Date Inclusive EMPLOYEE?
 RECOMMEND
P. TRAVEL S
(TRAVEL INITIATING APPROVAL
ORDER/TRAVE UNIT
L AUTHORITY)
APPROVAL
LOCAL

GM RC DOTC

Remarks
AGM RC GM
 REHABILITATION LEAVE
6 MONTHS

PERSONNEL INFO

No. of
Name of Employee RC Position Date Filed Days Date Inclusive
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LEAVE REQUIREMENTS
REQUIREMENTS

Applicatio Police HRMO

n for Medical Report GOV'T. MONTHLY
Leave Letter Certificate if any Reason PHYSICIAN? MONITORS?
OPR FOR APPROVAL Remarks
 COMPENSATORY TIME-OFF
5 DAYS

PERSONNEL INFO

No. of
Name of Employee RC Position Date Filed Days
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LEAVE REQUIREMENTS

WITH WRITTEN
APPROVAL FROM
RC HEAD AT THE
Date Inclusive With issued COC? BACK OF COC
 RECOMMEND
M. COC/CTO INITIATING S APPROVAL
UNIT
APPROVAL
HO RC HRMD AGM-FLA

UNIT
PMO ADMIN. MGR. PM
CONCERNED

Remarks