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  • DICT Revised Leave Form 2015

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    Vicente Tan
    4 views2 pages
    The document contains 3 copies of a leave application form for an employee of Brgy. San Pedro, Panabo City. The form collects the employee's name, ID number, department, duration and dates of leave, type of leave, reason, address while on leave, employee and approver signatures, and leave balances. It requests details on vacation, sick, maternity, paternity and other types of leave.

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    The document contains 3 copies of a leave application form for an employee of Brgy. San Pedro, Panabo City. The form collects the employee's name, ID number, department, duration and dates of leave, type of leave, reason, address while on leave, employee and approver signatures, and leave balances. It requests details on vacation, sick, maternity, paternity and other types of leave.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views2 pages

    DICT Revised Leave Form 2015

    Uploaded by

    Vicente Tan
    The document contains 3 copies of a leave application form for an employee of Brgy. San Pedro, Panabo City. The form collects the employee's name, ID number, department, duration and dates of leave, type of leave, reason, address while on leave, employee and approver signatures, and leave balances. It requests details on vacation, sick, maternity, paternity and other types of leave.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Brgy.

    San Pedro, Panabo City


    NAME: __________________________________

    ID NO.: ___________________

    DURATION OF LEAVE (No. of Days): ___________

    DEPARTMENT: __________________________

    SECTION: _________________

    FROM: ____/____/____

    TO: ____/____/_____

    NATURE OF LEAVE (Attach necessary certificate/s)

    Vacation Leave
    Scheduled

    Maternity Leave

    Other Leave: _____________________


    Pls. specify: _____________________

    Unscheduled

    ___________________________

    Sick Leave

    Paternity Leave

    Reason for the leave:

    Address while on leave:

    Employee Signature:

    Noted by:

    ____________________________

    _____________________________

    Date Prepared: ____/____/____


    CHECKED AND VERIFIED BY:

    Approved by:

    ____________________________
    Benefits In-charge

    To return to work on:

    VL

    SL

    Credit
    Previous Leave
    Credit Available
    Less: This Leave
    New Balance

    _____________________________

    ------------------------------------------------------------------------------------------------------------------------------------------------------------------------

    Brgy. San Pedro, Panabo City


    NAME: _________________________________

    ID NO.: ____________________

    DURATION OF LEAVE (No. of Days): ___________

    DEPARTMENT: __________________________

    SECTION: _________________

    FROM: ____/____/____

    TO: ____/____/_____

    NATURE OF LEAVE (Attach necessary certificate/s)

    Vacation Leave
    Scheduled

    Maternity Leave

    Other Leave: _____________________


    Pls. specify: _____________________

    Unscheduled

    ___________________________

    Sick Leave

    Paternity Leave

    Reason for the leave:

    Address while on leave:

    Employee Signature:

    Noted by:

    ____________________________

    _____________________________

    Date Prepared: ____/____/____


    CHECKED AND VERIFIED BY:

    Approved by:

    ____________________________
    Benefits In-charge

    ____________________________

    To return to work on:

    VL

    SL

    Credit
    Previous Leave
    Credit Available
    Less: This Leave
    New Balance

    ------------------------------------------------------------------------------------------------------------------------------------------------------------------------

    Brgy. San Pedro, Panabo City


    NAME: __________________________________

    ID NO.: ____________________

    DURATION OF LEAVE (No. of Days): ___________

    DEPARTMENT: __________________________

    SECTION: _________________

    FROM: ____/____/____

    TO: ____/____/_____

    NATURE OF LEAVE (Attach necessary certificate/s)

    Vacation Leave
    Scheduled

    Maternity Leave

    Other Leave: _____________________


    Pls. specify: _____________________

    Unscheduled

    ___________________________

    Sick Leave

    Paternity Leave

    Reason for the leave:

    Address while on leave:

    Employee Signature:

    Noted by:

    ____________________________
    Date Prepared: ____/____/____

    _____________________________

    To return to work on:

    VL
    Credit
    Previous Leave
    Credit Available
    Less: This Leave
    New Balance

    SL

    CHECKED AND VERIFIED BY:

    Approved by:

    ____________________________
    Benefits In-charge

    _____________________________

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