LEAVE FORM

EMPLOYEE NUMBER: DATE: june 16 2017

NAME OF EMPLOYEE: david johnson yambot EMPLOYEE SIGNATURE:

DESIGNATION: Technical Support Engineer DEPARTMENT: IMI Laguna Project

DATE OF LEAVE
INCLUSIVE DATE(S) OF
LEAVE: 16-Jun-17 NUMBER OF DAYS: 1

NATURE OF LEAVE

VACATION MATERNITY WITH PAY

SICK PATERNITY WITHOUT PAY
EMERGENCY OTHERS
.
Specify: diarrhea and fever

REASON

family outing

APPROVAL
SUPERVISOR/MANAGER: Micheal savellano DATE OF APPROVAL:

EMPLOYEE'S COPY
NAME OF EMPLOYEE: EMPLOYEE NUMBER:

INCLUSIVE DATE(S) OF
NUMBER OF DAYS:
LEAVE:

REASON: family outing

DATE EXPECTED TO RETURN

VL/SL/EL BALANCE:
BACK TO WORK: