V-MARINE

LEAVE APPLICATION FORM

EMPLOYEE NO: DATE

EMPLOYEE NAME APPOINTMENT DATE

DESIGNATION DEPARTMENT

REASON FOR LEAVE

Vacation Annual Vacation Emergency LWOP

Others ____________________________

LEAVE REQUESTED
START DATE END DATE TOTAL DAYS RESUMING WORKDAY

AIR TICKET REQUEST

DESTINATION EMPLOYEE HOME ADDRESS CONTACT DETAILS AIRLINES

Undertaking: If I overstay for more than 10 days from the date of my approved leave (without a valid reason and approval
by the management), the company has the right to terminate my services without prior notice.

EMPLOYEE SIGNATURE: ____________________ DATE: ________________

AUTHORISATION BY DEPARTMENT HEAD

LEAVE APRROVAL LEAVE REPLACEMENT SUPERVISOR MANAGER
SIGNATURE SIGNATURE
YES NO

FOR HR USE ONLY

PREVIOUS LEAVE LEAVE TAKEN REMAINING LEAVE TICKET DUE VISA EXPIRY CONTRACT EXPIRY
DATE

HR SIGNATURE: _______________ DATE: ________________

MANAGEMENT FINAL APPROVAL

APPROVED REJECTED REMARKS: __________________________________

CEO SIGNATURE: _______________ DATE: ________________
VM/HR-FORMS/LAF/JO2021 ISSUE NO.1 / AUG 2021