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Saint Michael College

OF HINDANG LEYTE SMCHL Leave Application Form

Faculty Name: SMC ID:


Faculty Position: Department/Unit:
Requested Dates: Contact No.:

I. LEAVE REQUEST
Type of Leave Date(s) Requsted Number of Days HR/Payroll Payment Eligibility Confirmation

HR / Payroll Initials Paid Unpaid


VL -
Vacation
SL - Sick
Leave
ML -
Leave
Marriage
PL -
Leave
Paternity
SPL - Solo Parent /
Leave
Parental Leave
WSL - Women
EL -
Special Leave
Emergency
LWOP
Leave - Leave of
Absence Without Pay
Others :

Reason for Leave:

Emoloyee's Signature Over Printed Name Date

APPROVAL
Not
Approved Approved Reason / Alternative (if denied):

Remarks:

Print Name - Immediate Superior Signature Date

Print Name - HRDMO Siganture Date

Leave Entitlement as of Application Date


(To be completed by HRDMO)
Leave Entitlement Balance
VL - Vacation Leave
SL - Sick Leave
EL - Emergency Leave

Note:
All members of SMCHL faculty must attach an accomplished Faculty Absence Request Form

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