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LEAVE APPLICATION FORM

Employee Name Outlet/Assignment

Reason for Requested Leave


Service Incentive Leave Maternity Leave
Unpaid Leave without pay Paternity Leave
Sick Leave without pay Others __________________________

Dates Requested
From ___________________________ To __________________________

Supporting documents Submitted (whenever applicable)

Employee’s Signature ______________________________ Date ___________________

Action on Leave Application


APPROVED REJECTED

Approving Officer __________________________________ Date ___________________

LEAVE APPLICATION FORM

Employee Name Outlet/Assignment

Reason for Requested Leave


Service Incentive Leave Maternity Leave
Unpaid Leave without pay Paternity Leave
Sick Leave without pay Others __________________________

Dates Requested
From ___________________________ To __________________________

Supporting documents Submitted (whenever applicable)

Employee’s Signature ______________________________ Date ___________________

Action on Leave Application


APPROVED REJECTED

Approving Officer __________________________________ Date ___________________

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