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ANNUAL LEAVE REQUEST

A.L.R.

To

: Personnel Department

Date

From

Department :

_____________________

I would like to take _________ working days off as vacation during the following dates:
Month ______________

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Month: ______________

31
Balance as of _____________ : _____Days
Department Supervisor comments and approval __________________________________
______________________________________________ Signature ___________________
Name of person in charge during vacation days ___________________________________
______________________________________________ Signature ___________________
Department Manager comments and approval ____________________________________
______________________________________________ Signature ___________________

Employee Signature

Personnel Department

NOTE: The person taking the vacation should:


- Fill the form and get the approval of his Supervisor, and/or Department Manager.
- Submit the form to Personnel Department for processing.

c c
  

   

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