Leave Application Form ‫منوذج طلب االجازة‬

Employee Name: :‫ﺇﺴﻡ ﺍﻝﻤﻭﻅﻑ‬

Employee ID: :‫ﺍﻝﺭﻗﻡ ﺍﻝﻭﻅﻴﻔﻲ‬
Dept/Branch: :‫ ﺍﻝﻔﺭﻉ‬/ ‫ﺍﻹﺩﺍﺭﺓ‬
Cost Center: :‫ﻤﺭﻜﺯ ﺍﻝﺘﻜﻠﻔﺔ‬
Contact Number (Backhome): :‫ﺭﻗﻡ ﺍﻻﺘﺼﺎل‬
Leave Information: :‫ﺘﻔﺎﺼﻴل ﺍﻹﺠﺎﺯﺓ‬

Leave type:__________ __________:‫

ع ازة‬
Destination:___________ __________: ‫و ا‬
Date of leave:___________ To:___________ __________:‫__________ إ‬: ‫أ ازة‬
Resuming duty on:___________ __________: ‫ر"! ا دة‬

Special Remarks/ ‫ﻁﻠﺒﺎﺕ‬

Status ‫ﻤﻼﺤﻅﺎﺕ‬ ‫ﺍﻝﺤﺎﻝﺔ‬
Requests Requests ‫ﺇﻀﺎﻓﻴﺔ‬
Vacation ‫ﺭﺍﺘﺏ ﺍﻹﺠﺎﺯﺓ‬
Yes No ‫ﻻ‬ ‫ﻨﻌﻡ‬ 
Salary

Ticket Yes No ‫ﻻ‬ ‫ﻨﻌﻡ‬  ‫ﺘﺫﻜﺭﺓ ﺴﻔﺭ‬

Exit/Re- Single ‫ﻤﺘﻌﺩﺩﺓ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﻋﻭﺩﺓ‬/‫ﺨﺭﻭﺝ‬

entry Multiple

‫ﺍﻋﺘﻤﺎﺩ ﻭﺤﺩﺓ ﺍﻝﺸﺭﻜﺎﺕ ﺍﻝﻤﺘﻌﺎﻗﺩﺓ ﺒﺎﻝﻤﻭﺍﺭﺩ ﺍﻝﺒﺸﺭﻴﺔ‬ ‫ﺍﻋﺘﻤﺎﺩ ﺍﻝﻤﺩﻴﺭ ﺍﻝﻤﺒﺎﺸﺭ‬

Outsource Staffing Unit Direct Manager
:‫ﺍﻹﺴﻡ‬/Name :‫ﺍﻹﺴﻡ‬/Name
:‫ﺍﻝﻭﻅﻴﻔﺔ‬/Position :‫ﺍﻝﻭﻅﻴﻔﺔ‬/Position
:‫ﺍﻝﺘﻭﻗﻴﻊ‬/Signature :‫ﺍﻝﺘﻭﻗﻴﻊ‬/Signature

‫ﺘﻭﻗﻴﻊ ﺍﻝﻤﻭﻅﻑ‬
Employee Signature