Finance Form 02

LEAVE APPLICATION FORM

Employee Name:

Position : Date of Filing :

Section/Dept. : Employee Number :

Leave Type Application No. of Days From (Date/Time) To (Date/Time)

(Place x mark)

Vacation

Sick

Maternity

Paternity

Undertime

Others

Leave with Pay Leave without Pay

Reason for Leave Application

Prepared by : Recommended by : Approved by :

Employee Name/ Signature Immediate Superior/Signature Department Manager/Signature

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FOR FINANCE USE ONLY LEAVE STATUS

Days Entitled
Date Submitted to Finance : Days Used
Received by : Days Applied
Signature Above Printed Name Balance

Instruction: Submit in duplicate form (Employee/Finance copy)

FINANCE SECTION / OSM