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LEAVE FORM APPLICATION

EMPLOYEE NAME: DATE:

DEPARTMENT: POSITION:

REASON FOR REQUESTED LEAVE:

o SICK LEAVE
o VACATION LEAVE
o OTHER’S
SPECIFY: ________________________________________________________

DATE REQUESTED: FROM:_____/____/______ TO:_________/______/________


TOTAL NO. OF DAYS:_________

__________________________
EMPLOYEE SIGNATURE

APPROVED BY:
MANAGER:_____________________________
SUPERVISOR:______________________

HR RECEIVED:__________________________

LEAVE FORM APPLICATION


EMPLOYEE NAME: DATE:

DEPARTMENT: POSITION:

REASON FOR REQUESTED LEAVE:

o SICK LEAVE
o VACATION LEAVE
o OTHER’S
SPECIFY: ________________________________________________________

DATE REQUESTED: FROM:_____/____/______ TO:_________/______/________


TOTAL NO. OF DAYS:_________

___________________________
EMPLOYEE SIGNATURE

APPROVED BY:
MANAGER:_____________________________
SUPERVISOR:______________________

HR RECEIVED:__________________________

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