LEAVE WITHOUT PAY

REQUEST FORM.

EMPLOYEE: SAIMA RAFIQ

DEPARTMENT: QUALITY CONTROL DESIGNATION: QUALITY

CONTROL MANAGER_____

DATES OF REQUESTED LEAVE

Structured Time Off

From JAN months

To FEB months

Start Date: 19-01-2023 End Date: 19-02-23

JUSTIFICATION

It is requested that my daughter (age 1.5 month) suffering from severe chest infection. She needs extra care now
days, that’s why it’s very difficult for me to manage my job. kindly grant me one month leave.
I will try my best to join my duty as soon as possible.
I will be very thankful for this favor

Sign of Applicant:
SUPERVISOR SECTION

My assistant will manage and take care of quality control lab matters in my absence. My team is very
responsible. I hope they will do great in my absence In Sha ALLAH

APPROVAL SECTION

[ ] Approved [ ] Disapproved
HEAD OF DEPARTMENT

[ ] Approved [ ] Disapproved
CEO/DIRECTOR

[ ] Approved [ ] Disapproved
Human Resource Department