Department of Education

Region VI – Western Visayas

DIVISION OF AKLAN
Kalibo, Aklan

October 7, 2019
Date

SPECIAL ORDER FOR MATERNITY LEAVE OF ABSENCE

Name: Employee Number:

Division: Station/Municipality:

Services Rendered: TEACHER I

Absences: NONE

Experience as Perm. /Provisional Teacher since:

Monthly Salary: P21,038. 00

105 _ days Maternity leave with full /half pay (10/14/2019 – 01/26/2020)

_______/______ days full pay (Total no. of days served multiplied by 0.0416)

_____________days without pay

By Authority of the Department of Education:

_
Administrative Officer V
 Department of Education
Region VI – Western Visayas
DIVISION OF AKLAN
Archbishop G.M. Reyes St., Kalibo, Aklan
Tel. Nos.: (036) 268-4235; 262-8816; 268-3097
Telefax Nos. :( 036) 268-4234; 268-6286

CLEARANCE
Purpose: [ ] Transfer [ ] Promotion [ ] Resignation [ ] Retirement
[ ] Travel Abroad [/] Leave of Absence

To Whom It May Concern:

This is to certify that MYCA I. AQUINO_ of _KINALANGAY VIEJO INTEGRATED SCHOOL District of
Malinao_ has been cleared of money and property responsibility from this Office
and is therefore issued this clearance.

Effectivity: ____ ___________________________________

Cleared as to property and financial responsibility Cleared as to property and financial responsibility

_KINALANGAY VIEJO INTEGRATED SCHOOL _ ______________MALINAO___________

Name of School Name of District

__________CLEOTILDE A. IREMEDIO_________ ________JULIET Y. IBUTNANDI_________

School Property Custodian District Property Custodian

__________VIVIAN T. IQUIÑA________ ___________AMANDO A. ZOLINA___________

School Head Public Schools District Supervisor
 Department of Education
Region VI – Western Visayas
DIVISION OF AKLAN
District of Malinao

KINALANGAY VIEJO INTEGRATED SCHOOL

________________________
Date

The Schools Division Superintendent

Division of Aklan
Kalibo, Aklan

Sir:

I have the honor to apply for a 60 days Maternity Leave of Absence with full pay effective

_______________________________________.

Hoping for your favorable approval.

Very truly yours,

MYCA I. AQUINO
Teacher I
Approval Recommended:

VIVIAN T. IQUIÑA
School Principal I

Noted:

AMANDO A. ZOLINA
Public Schools District Supervisor
APPROVED:
Dr. JESSE M. GOMEZ, CESO V
Schools Division Superintendent