ANNUAL LEAVE/VACATION REQUEST FORM

DATE SUBMITTED: _____/_____/______

REQUESTED BY:

EMPLOYEE NO._____________________________________________

NAME: ___________________________________________________

DEPARTMENT/SECTION: _____________________________________

DATE COVERED:

From: ____/____/______

To: ____/____/______ No. of working days: _____

TYPE OF LEAVE:

Vacation Sick Maternity Paternity Magna Carta Indefinite

REASON FOR LEAVE:

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

EMPLOYEES SIGNATURE: ASSISTANT SUPERVISOR: HRA MNGR:

MS. DAISY VILLAMOR MS. JENIFFER FRANCISCO

Signature over printed name Signature over printed name Signature over printed name