{"id":57,"date":"2022-10-18T09:02:12","date_gmt":"2022-10-18T09:02:12","guid":{"rendered":"https:\/\/ams.omnhscalapancity.com\/?page_id=57"},"modified":"2022-10-19T04:38:44","modified_gmt":"2022-10-19T04:38:44","slug":"leave-form","status":"publish","type":"page","link":"https:\/\/ams.omnhscalapancity.com\/?page_id=57","title":{"rendered":"Application for Leave"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-98\"><form id=\"wpforms-form-98\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"98\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F57\" data-token=\"ea98d8cdda70ee9b3449e1fe826d9ec6\" data-token-time=\"1776431707\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-98-field_27-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"27\"><h3 id=\"wpforms-98-field_27\">Application for Leave<\/h3><\/div><div id=\"wpforms-98-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_7\">1.   OFFICE\/DEPARTMENT<\/label><select id=\"wpforms-98-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\"><option value=\"OR. MINDORO NHS\" >OR. MINDORO NHS<\/option><\/select><\/div><div id=\"wpforms-98-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_0\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-98-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-98-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-98-field_0-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][0][middle]\" ><label for=\"wpforms-98-field_0-middle\" class=\"wpforms-field-sublabel after\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-98-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-98-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-98-field_8-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_8\">3.   DATE OF FILING<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-98-field_8\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][8][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-98-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_9\">4.   POSITION<\/label><select id=\"wpforms-98-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\"><option value=\"Teacher I\" >Teacher I<\/option><option value=\"Teacher II\" >Teacher II<\/option><option value=\"Teacher III\" >Teacher III<\/option><option value=\"Master Teacher I\" >Master Teacher I<\/option><option value=\"Master Teacher II\" >Master Teacher II<\/option><option value=\"Head Teacher I\" >Head Teacher I<\/option><option value=\"Head Teacher II\" >Head Teacher II<\/option><option value=\"Head Teacher III\" >Head Teacher III<\/option><\/select><\/div><div id=\"wpforms-98-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_10\">5.  SALARY<\/label><input type=\"text\" id=\"wpforms-98-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" ><\/div><div id=\"wpforms-98-field_3-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_3\">6.A  TYPE OF LEAVE TO BE AVAILED OF<\/label><ul id=\"wpforms-98-field_3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_1\" name=\"wpforms[fields][3][]\" value=\"Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E.O. No. 292)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_1\">Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E.O. No. 292)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_2\" name=\"wpforms[fields][3][]\" value=\"Mandatory\/Forced Leave(Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_2\">Mandatory\/Forced Leave(Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_3\" name=\"wpforms[fields][3][]\" value=\"Sick Leave  (Sec. 43, Rule XVI, Omnibus Rules Implementing E.O. No. 292)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_3\">Sick Leave  (Sec. 43, Rule XVI, Omnibus Rules Implementing E.O. No. 292)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_4\" name=\"wpforms[fields][3][]\" value=\"Maternity Leave (R.A. No. 11210 \/ IRR issued by CSC, DOLE and SSS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_4\">Maternity Leave (R.A. No. 11210 \/ IRR issued by CSC, DOLE and SSS)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_5\" name=\"wpforms[fields][3][]\" value=\"Paternity Leave (R.A. No. 8187 \/ CSC MC No. 71, s. 1998, as amended)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_5\">Paternity Leave (R.A. No. 8187 \/ CSC MC No. 71, s. 1998, as amended)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_6\" name=\"wpforms[fields][3][]\" value=\"Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_6\">Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_7\" name=\"wpforms[fields][3][]\" value=\"Solo Parent Leave (RA No. 8972 \/ CSC MC No. 8, s. 2004)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_7\">Solo Parent Leave (RA No. 8972 \/ CSC MC No. 8, s. 2004)<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_8\" name=\"wpforms[fields][3][]\" value=\"Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No. 292)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_8\">Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No. 292)<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_9\" name=\"wpforms[fields][3][]\" value=\"10-Day VAWC Leave (RA No. 9262 \/ CSC MC No. 15, s. 2005)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_9\">10-Day VAWC Leave (RA No. 9262 \/ CSC MC No. 15, s. 2005)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_10\" name=\"wpforms[fields][3][]\" value=\"Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_10\">Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292)<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_11\" name=\"wpforms[fields][3][]\" value=\"Special Leave Benefits for Women (RA No. 9710 \/ CSC MC No. 25, s. 2010)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_11\">Special Leave Benefits for Women (RA No. 9710 \/ CSC MC No. 25, s. 2010)<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_12\" name=\"wpforms[fields][3][]\" value=\"Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, as amended)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_12\">Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, as amended)<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_3_13\" name=\"wpforms[fields][3][]\" value=\"Adoption Leave (R.A. No. 8552)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_3_13\">Adoption Leave (R.A. No. 8552)<\/label><\/li><\/ul><\/div><div id=\"wpforms-98-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_11\">Others:<\/label><input type=\"text\" id=\"wpforms-98-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" ><\/div><div id=\"wpforms-98-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_12\">6.B  DETAILS OF LEAVE (In case of Vacation\/Special Privilege Leave:)<\/label><ul id=\"wpforms-98-field_12\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_12_1\" name=\"wpforms[fields][12][]\" value=\"Within the Philippines\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_12_1\">Within the Philippines<\/label><\/li><\/ul><\/div><div id=\"wpforms-98-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-98-field_13\">a<\/label><input type=\"text\" id=\"wpforms-98-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-98-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-98-field_15\">b<\/label><ul id=\"wpforms-98-field_15\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_15_1\" name=\"wpforms[fields][15][]\" value=\"Abroad \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_15_1\">Abroad<\/label><\/li><\/ul><\/div><div id=\"wpforms-98-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_14\">(Specify)<\/label><input type=\"text\" id=\"wpforms-98-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-98-field_16-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_16\">In case of Sick Leave:<\/label><ul id=\"wpforms-98-field_16\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_16_1\" name=\"wpforms[fields][16][]\" value=\"In Hospital\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_16_1\">In Hospital<\/label><\/li><\/ul><\/div><div id=\"wpforms-98-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_17\">(Specify Illness)<\/label><input type=\"text\" id=\"wpforms-98-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-98-field_18-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"18\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-98-field_18\">c<\/label><ul id=\"wpforms-98-field_18\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_18_1\" name=\"wpforms[fields][18][]\" value=\"Out Patient \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_18_1\">Out Patient<\/label><\/li><\/ul><\/div><div id=\"wpforms-98-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_19\">(Specify Illness)<\/label><input type=\"text\" id=\"wpforms-98-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-98-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_20\">In case of Study Leave:<\/label><ul id=\"wpforms-98-field_20\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Completion of Master&#039;s Degree\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_20_1\">Completion of Master's Degree<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_20_2\" name=\"wpforms[fields][20][]\" value=\"BAR\/Board Examination Review\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_20_2\">BAR\/Board Examination Review<\/label><\/li><\/ul><\/div><div id=\"wpforms-98-field_21-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_21\">Other purpose:<\/label><ul id=\"wpforms-98-field_21\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_21_1\" name=\"wpforms[fields][21][]\" value=\"Monetization of Leave Credits\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_21_1\">Monetization of Leave Credits<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_21_2\" name=\"wpforms[fields][21][]\" value=\"Terminal Leave \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_21_2\">Terminal Leave<\/label><\/li><\/ul><\/div><div id=\"wpforms-98-field_22-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_22\">6.C  NUMBER OF WORKING DAYS APPLIED FOR<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-98-field_22\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][22][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-98-field_23-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_23\">To:<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-98-field_23\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][23][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-98-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-98-field_24\">6.D  COMMUTATION<\/label><ul id=\"wpforms-98-field_24\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Not Requested\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_24_1\">Not Requested<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-98-field_24_2\" name=\"wpforms[fields][24][]\" value=\"Requested\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-98-field_24_2\">Requested<\/label><\/li><\/ul><\/div><div id=\"wpforms-98-field_26-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"26\"><h3 id=\"wpforms-98-field_26\">Section Divider<\/h3><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"98\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/ams.omnhscalapancity.com\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F57\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-98\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/ams.omnhscalapancity.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-57","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ams.omnhscalapancity.com\/index.php?rest_route=\/wp\/v2\/pages\/57","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ams.omnhscalapancity.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ams.omnhscalapancity.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ams.omnhscalapancity.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ams.omnhscalapancity.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=57"}],"version-history":[{"count":6,"href":"https:\/\/ams.omnhscalapancity.com\/index.php?rest_route=\/wp\/v2\/pages\/57\/revisions"}],"predecessor-version":[{"id":118,"href":"https:\/\/ams.omnhscalapancity.com\/index.php?rest_route=\/wp\/v2\/pages\/57\/revisions\/118"}],"wp:attachment":[{"href":"https:\/\/ams.omnhscalapancity.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=57"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}