APPLICATION FOR LEAVE APPLICATION FOR LEAVE

COMPANY DEPT DATE OF FILLING COMPANY DEPT DATE OF FILLING

NAME (Last) (First) (Middle) NAME (Last) (First) (Middle)

NATURE OF EMPLOYMENT NATURE OF EMPLOYMENT

/ / Regular / / Probationary / / Contractual / / Regular / / Probationary / / Contractual

TYPE OF LEAVE TYPE OF LEAVE

/ / Vacation / / Sick / / Vacation / / Sick
Reason: / / Maternity Reason: / / Maternity
/ / Undertime / / Undertime
/ / From to / / From to
NUMBER OF WORKING DAYS APPLIED FOR ____________________________________ NUMBER OF WORKING DAYS APPLIED FOR ____________________________________
INCLUSIVE DATES ________________________________
to _______________________ INCLUSIVE DATES ________________________________
to _______________________

(Signature of Application) (Signature of Application)

ACTION PERSONEL ACTION PERSONEL

Leave Balance as VL SL APPROVE FOR Leave Balance as VL SL APPROVE FOR

OF ___________ ___________ ________________days with pay OF _____________

_____________ ________________days with pay
LESS: This Leave _____________
_____________ _____________ days without pay LESS: This Leave _____________
__________________________ days without pay
Balance as of Date _____________
_____________ ______________Others (Specify) Balance as of Date _____________
___________________________Others (Specify)

DISAPPROVED DUE TO: DISAPPROVED DUE TO:

Personel Officer Operating Head Personel Officer Operating Head