VSL Middle East LLC Leave Application Form

EMPLOYEE NO DATE OF JOIN EMPLOYEE NAME EMPLOYEE POSITION DEPARTMENT / SITE

LEAVE REQUEST DETAILS

REASON
ANNUAL LEAVE UNPAID LEAVE

EMERGENCY LEAVE OTHERS

LEAVE DATES

FROM: NB OF DAYS:

TO:

EMERGENCY CONTACT DETAILS

NAME / HOTEL :

ADDRESS:

ZIP CODE / PO BOX:

CITY / STATE:

COUNTRY:

MOBILE:

TEL:

FAX:

EMAIL:

OTHER (to be filled by HR Department)

AIR TICKET DESTINATION : FLIGHT NO:

TRAVEL AGENCY : LPO NO:

1/ REQUESTED BY : 3/ CONFIRMED BY: 4/ CHECKED BY:

SIGNATURE : DPT MANAGER HR MANAGER

DATE: / / DATE: / / DATE: / /

2/ CONFIRMED BY: 5/ PAYROLL OFFICER

LINE MANAGER: DATE: / /

DATE: / /

GENERAL INFORMATION

Form No.: 303-SFD-0002 rev.0