AL HASEEB COMPUTER NETWORKS LLC

Leave Form
- TO BE FILLED ONLY BY ALLICANT -

Name: Date:
Employment #: Location: Designation:
Nature of leave: {Emergency {Medical {Casual {Annual {Loss of Pay {Others:
Reason:
Leave Requested date: from to # of days:
Address on leave: Door #: Street:
Taluk/Village: District: City:
State: Postal code: Country:
Leave contact #: Emergency contact #:

I, working as holding passport

# hereby request for approval of leave aforesaid.

Signature of the applicant Manager/Supervisor

- TO BE FILLED ONLY BY HR
/ACCCOUNTS

Date of joining:
Latest Leave: from to # of days: Nature of Leave:
Reason Provided:
Previous annual leave: from to # of days:

Leave Statistics/Period To To To
Working Days
Worked Days
Leave Eligibility
Leave Prevailed
Loss of Pay
Leave cashed
Leave Available

- TO BE FILLED ONLY BY FINANCE -

Entitlements: …Air Ticket Dh.
Earnings Dh. Deductions Dh.
Salary up to leave date Advances
Leave Salary for days Loans
Other Other
Other Other
Total Earnings Total Deductions
Net Earnings: Dh. In Words:

- ACKNOWLEDGEMENT & APPROVALS-

I, working as holding passport

# hereby surrender my labor card in lieu of my passport and collected Dh.
in words towards settlement of my salary up to .

HR Finance Management
Signature of the applicant
Date: Date: Date: