LEAVE APPLICATION FORM FOR

Sick / Compensatory /
Travelling Abroad During Public Holidays)
Please fill in all fields available for processing of the application
Name of Company

Date

Name of Applicant:
Designation:
Site/Office:
UAE contact no:

Leave Applied for:

Code No:
Dept:
Date of Joining:
Email ID:

Sick

Visa Base:

Compensatory

Date of leave applied from:

Band:

Travelling Abroad During Public Holidays

to:

days)

Applicant

Contact address & Contact Number of travelling country:

-----------------------------------------------------------------------------------------------------Tel No.:
All supporting documents as per policy to be attached for Sick leave (for more than 1 day) and for
Compensatory leave.

_________________________
Employee Sign
Note: Applicant / Secretary shall mail filled application to : helpline @alfaraa.com

Applicable for travelling abroad during public holidays:

Petty cash Bal. (DHS): _ _ _ _ _ _ _ _ _ _

Advance/Loan Bal. (DHS): _ _ _ _ _ _ _ _ _ _Checked by -

Checked by Petty Cash Accountant - Name and Signature

of Accountant: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name and Signature of Accountant: _ _ _ _ _ _ _ _ _ _ _ _ _

To be filled by Dept./Div. Head

Office Use

Laptop / Other Equipment :

______________________
Immediate Head

(Name & Sign)

To be Taken Over

To be approved with Employees

_________________________________
Technical Coordinators /
C.T.C.

___________________________
Divisional Manager / GM

(if applicable Name & Sign)

(Name & Sign)

Application to be finalized in within 24 hours

Sick leave accrued days

Leave days taken

Leave days balance

Compensatory accrued days

Leave days taken

Comp. Leave days balance

Approval (With Comments)

Approval

Full Paid Days

___________________________

HOD / Business Head

(Name & Sign)

Half Paid Days

Unpaid Days

___________________________

ESS Manager
(Name & Sign)

___________________________

GD:HR CA & BS
(Name & Sign)

Note: The above format is governed by the present approved Leave policy.
Doc no: 7003-FRM-001 (B)
PAP no: ALL-AF-7003-PAP-001

Rev No. : 02
Revision History: New

Date : 25.06.2012

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