LEAVE APPLICATION FORM

Full Name (as stated in your passport): Karthik Dhayalan

Department: QA/QC

Employee Number: KD1790E Working/Calendar days:

My Holiday Year: 01 JAN.2018 to 31 DEC.2018 Annual Holiday Entitlement: 30
Days Carried Forward from previous year (if applicable):
Total: 30
TRF Eligibility for 1 year:
Year of Service: 2018

No of Public
N=New Request Date of
Holidays
A=Adjustment calendar/working during this Departure Date of Arrival Approval
C=Compassionat Days applied for period from the back in the Appointed Approval Line Projects
Date of e M=Maternity First Day of Last Day of Resumed (exclude Public Excluding Country of Leave and Country of Country of Deputy/Stand- Manager Manager Holiday
Application U=Unpaid Leave Holiday Holiday duty on Holidays weekends Contact Number Assignment Assignment In + Project Signature/Date Signature/Date Balance

9-Apr-18 N 18-Jun-18 28-Mar-18 7-Jul-18 15 3 0091 9677770149 24-Mar-18 6-Apr-18 Jijo/Imtiaz 15

Note: The above form should be duly filled and retained by the employee and copies distributed as follows:
(1) IMMEDIATE SUPERVISOR/LINE MANAGER (for approval) (2) HR DEPARTMENT (Records and Personal File)
(3) PROJECT PAYROLL (4) ADMIN
MEA/HRF-23 Rev 2 Date Issue: November '14