FM/PR/010 .

00
AL-YUSR TOWNSEND AND BOTTUM COMPANY LIMITED
LEAVE APPLICATION/ACTION
NAME :____________________________________________ ID#____________ DEPT/PROJ ECT_______________
POSITION:_______________________________ITINERARY: ______________________________________________
SERVICES REQUESTED Transport to Airport Ticket by Company Company Account
Ticket by Employee Personal Account
LEAVE REQUEST : LEAVE APPROVALS
Departure Date : _______________ First day of leave : _______________________
First Day of Leave : _______________ First working day on return : _______________________
First Working Day on return : _______________ Remarks
TYPE OF LEAVE Local Leave
Vacation Business Emergency
COMMENTS BY PROJ ECT/DEPT. Signature Supervisor Date
Name
Signature Manager Date
Signature Employee Date Name
FOR PERSONNEL DEPT. USE ONLY
ACTION REQUIRED: Vacation/ TE Period:__________ Leave entitlement as of : _______________
TRAVEL BOOKING Date of last Entitlement : _______________
Departure : Flight Date Time
Depart Site : Date Time
Arrival : Flight Date Time Scheduled Actual
First Day of leave : ___________ ___________
First working day on return:___________ ___________
GOVERNMENT RELATIONS:
Exit/Reentry Visa
Balance
brought
Days Actual Balance
forward + Accruals = Total granted use forward
Exit only Visa Vacation _________ ________ __________ ________ ________ ________
Travel Documents Holidays _________ ________ __________ ________ ________ ________
COMMENTS BY PERSONNEL DEPT: Others _________ ________ __________ ________ ________ ________
Business ________ ________ ________
Unpaid ________ ________ ________
G. Total ________ ________ ________
Personnel Manager Date
Name
Original: Personnel, 1st Copy Accounts, 2nd Copy Employee
FM/PR/010, Rev. 00 , Rev
Ambrocio H. Valiente 19332 CRG
Safety Inspector 2 Dammam, Manila
02 April 2012
Final Exit
Final Exit