Leave Application Form

Personal Data

Name/ID: PAUL FRANKLIN A/09/20/04/1904

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Branch: NIGER ………………………………………………………………………
Phone number: 08166390128…………………………………………………………….
Date: 23/07/2021……………………………………………………………

Leave Duration

Available Leave Days: 10………….. No. Of days requested: 3

DAYS……………..

Start Date: 29/07/2021……………………….. End Date:

03/07/2021……………………………

No. Of days remaining: 7DAYS…………

Reason: TO ENABLE ME ATTEND FUNERAL CEREMONY OF MY BROTHER

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Employee’s Signature: PAUL FRANKLIN ……………………….

Duties

Reliever’s Name & Signature:… ASEMAKAHA

LUKA………………………………………….,……..

Relieving officer Phone number:

08133658724……………………………………………………………

Summary of deliverables: HANDED OVER ALL MY VALUABLE

TOOL…………………………………………………………………

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Approval
Supervisor Name & Signature: …ANYAGH
JOHN………………………………………………………….
Supervisor Phone number:
08065548255……………………………………………………………
HR Comment: ……………………………………………………………………………….
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MD’s Comment:…………………………………………………………………………….