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VACATION / SICK LEAVE APPLICATION FORM

NAME OF STAFF: DATE:


DESIGNATION: ID NO.:
STAFF / EMPLOYEE'S PORTION

To: Human Resources Department


Requesting approval for: (Check the box corresponding to your leave application.)

Vacation Leave Sick Leave Others (specify):

PERIOD COVERED
From: To: Total No. Of Days Applied:
Total No. Of Days Approved:
REASON:

Approved By:
Employee's Signature Department Department Head's Signature

HR / ADMINISTRATION PORTION
SUMMARY VL SL SIGNATORIES

Leave Credits: Noted by: HR Manager


Less Applied: Approved by: Vice President
Balance to Date: Recorded by: HR / Payroll

VACATION / SICK LEAVE APPLICATION FORM

NAME OF STAFF: DATE:


DESIGNATION: ID NO.:
STAFF / EMPLOYEE'S PORTION

To: Human Resources Department


Requesting approval for: (Check the box corresponding to your leave application.)

Vacation Leave Sick Leave Others (specify):

PERIOD COVERED
From: To: Total No. Of Days Applied:
Total No. Of Days Approved:
REASON:

Approved By:
Employee's Signature Department Department Head's Signature

HR / ADMINISTRATION PORTION
SUMMARY VL SL SIGNATORIES

Leave Credits: Noted by: HR Manager


Less Applied: Approved by: Vice President
Balance to Date: Recorded by: HR / Payroll

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