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Leave application form

Employee’s details

Name:

Emp. ID:

Position:

Contact phone number:

Last Vacation Date:

Leave type

Annual leave

Emergency leave

Leave without Pay

Period of leave

Last day of work:

Return to work date:

Comments:

Signature of employee: ____________________________________________ Date: _______ / ________ / ________

Signature of Site In charge: _________________________________________ Date: _______ / ________ / ________

Approval of leave (to be completed by manager/supervisor)

Approved Not approved

Reason for refusal (if applicable):

Name of manager

Signature of manager: _________________________________ Date: _____ / ______ /____

Signature of Managing Director: __________________________ Date: _____/______ / ____

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