LN Leave Request Form

The employee is expected to discuss the timing of scheduled leave with their supervisor and submit this form in its entirety no later than two weeks before the requested
leave is to be taken – except in the case of an emergency. Leaves are not approved until the COT’s signature is affixed to this form or through the COT’s verbal approval for
emergency situations. Leaves approved verbally will be followed up by retroactive submission of this form as soon as feasible with remarks added explaining the reason for the
late submission.

Mohammad Haris Mirani Human Resources Specialist PMO May 22, 2021

EMPLOYEE NAME POSITION SECTION DATE

SECTION I (Completed by Employee)

HOURS OF ANNUAL LEAVE: 6.00 FROM: May 22, 2021 TO: May 23, 2021

HOURS OF LEAVE WITHOPUT PAY (LWOP): FROM: TO:

REMARKS: Sick Leave: 6 hours on 22 May and 8 hours on 23 May, 2021.

Digitally signed by Mohammad
Mohammad Haris Mirani
EMPLOYEE SIGNATURE: Haris Mirani Date: 2021.05.22 10:04:47
+04'30'
DATE: May 22, 2021

SECTION II (Completed by Human Resources)

LEAVE BALANCES: 67.82

ANNUAL LEAVE CURRENT: 14.00 HOURS

ANNUAL LEAVE AFTER REQUESTED HOURS TAKEN: 53.82 HOURS

Digitally signed by Tamana Warzi

HR REPRESENTATIVE: Tamana Warzi Tamana Warzi Date: 2021.05.22 22:02:28

+04'30'
May 22, 2021

PRINT NAME SIGNATURE DATE

SECTION III(Completed by Section Lead)
I have reviewed the section schedule, work load, and this employee’s leave request and I

✔ APPROVE THE LEAVE REQUEST DO NOT APPROVE THE LEAVE REQUEST

(Reason not approved, or if changes made before granting approval):

Digitally signed by Atifa

SECTION LEAD:
Atifa Haba
Atifa Haba Haba
Date: 2021.05.23 16:15:50
+04'30'
May 23, 2021

PRINT NAME SIGNATURE DATE

SECTION IV(Completed by Component Lead)
I have reviewed the section schedule, work load, and this employee’s leave request and I

✔ APPROVE THE LEAVE REQUEST DO NOT APPROVE THE LEAVE REQUEST

(Reason not approved, or if changes made before granting approval):

Digitally signed by Abdul

Abdul Rauf Meraj
Abdul Rauf Rauf Meraj
May 23, 2021
Date: 2021.05.23 16:49:51
COMPONENT LEAD: Meraj +04'30'
PRINT NAME SIGNATURE DATE
5
SECTION V(Completed by Chief of Team or Designee)
I have reviewed this employee’s leave request and I

APPROVE THE LEAVE REQUEST DO NOT APPROVE THE LEAVE REQUEST

Steve Warnock May 23, 2021

CHIEF OF TEAM:
PRINT NAME SIGNATURE DATE

PROGRAM IMPLEMENTOR
APPROVAL FOR LWOP: PRINT NAME SIGNATURE DATE