Download as xls, pdf, or txt
Download as xls, pdf, or txt
You are on page 1of 1

LEAVE APPLICATION

Employee Name Employee No.

Location: Base

TYPE OF LEAVE Please tick

1. Annual Vacation 5. Examination


2. Medical 6. Compassionate
3. Maternity 7. Unpaid Leave
4. Marriage 8. Other

NO. OF DAYS

Leave requested from To

Sector and Carrier Carrier


ETD
No. of Days ETA

Date of Departure
Date of joining REIMBURSEMENT Please tick
after last leave (For Office Use only)

Annual Vacation days Leave encashment

Leave entitlement Airfare encashment

Approved unpaid days Ticket due

OTHER DETAILS

Contact home address,


telephone No. and
email address

Employee's Signature Reviewed by: Approved by

_________________ __________________

cc: Accounts Departure date:


file: PF

Remarks:

You might also like