Doe. Code: FF-HRD- 011
Rev. 1 LEAVE FORM
Effective: January 22, 2018
ANNUAL LEAVE SHALL BE FILED AT LEAST TWO (2) WEEKS PRIOR TO THE SCHEDULED DATE.
EMPLOYEES NAME Hit. PrlnGlec C. ConilGilhypDATE OF REQUEST _ fyA4 2 Do1y/
DESIGNATION BAC INbeRING Seer nM ity DEPARTMENT OE
TYPE OF LEAVE
1 vaceion ET annua OD sexuewe 0 airtaoay Om O su
Er veer D woray
DATE REQUESTED
BEGINS ON: MAY >, 2e1y ENDSON: fy} |, vig
TOTAL NO. OF DAYS: aa Cihkepay + Fry, )
REASONS: _Pesfoi) fn MATTERS
Zh approved DISAPPROVED
PLEASE STATE REASON(S) FOR DISAPPROVAL OF LEAVE:
——MM 220i
Noted by:
HUMAN RESOURCE MANAGER "VER & ADMIN DEPT PRESIDENT
Desin and ConesetbY JONES UNSON ENTERPRISE ARCHITECTURE SOLUTIONS. Except for ho. company logo and
information tats owned by DALKIA INCORPORATED, no par of tis document may be reproduced, sored ina reteval
‘system or ransmited in any form or by any means; electronic, mechanical, photocopying, recorcing otherwise, without prior
Permission fom the management of the organization.