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LEAVE APPLICATION FORM

THIS LEAVE APPLICATION FORM MUST BE SUBMITTED TO THE HUMAN RESOURCE


DEPARTMENT BEFORE THE APPLICANT GOES ON LEAVE. ALL LEAVE MUST BE
APPLIED WITH (3) DAY'S NOTICE. THE APPLICANT MUST FILL THE FORM.
APPLICANT'S INFORMATION
NAME: ________________________________________

DATE: ___________________

POSITION: ____________________________________
DURATION OF LEAVE: From _______________ To _______________

No. of Days: ______________

REASON FOR LEAVE: ________________________________________________________________________


________________________________________________________________________

TYPE OF LEAVE
Annual Leave

Emergency Leave

Sick Leave

Unpaid Leave

CONTACT NO. WHILE ON LEAVE: ____________________________

SIGNATURE: ________________________

APPROVING AUTHORITY
APPROVED/NOT APPROVED
BY MANAGER: _____________________________

DATE: ___________________

HUMAN RESOURCE DEPARTMENT

Balance of Leave: (Annual Leave) ______________


RECORD UPDATED BY: ____________

(P.H Replacement Leave) ______________


DATE: ___________________

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