Document Name: Leave Application Form

LEAVE REQUEST FORM

Document #: HR-LF-01
Rev. # 01
Rev. Date: 09.01.2020

IMAN GROUP
Employee Name: Start Date/ Time:
Job Title: End Date / Time:
Direct Supervisor: No. of Working Days Absent:
Person Replacing: Contact No. during Leave:

Type of Leave Requested (Please tick): Remarks:

__________________________________________________________
Annual __________________________________________________________
Sick __________________________________________________________
Casual __________________________________________________________
Short __________________________________________________________
Maternity / Paternity __________________________________________________________
Compassionate __________________________________________________________
Unpaid __________________________________________________________
Others __________________________________________________________

FOR HR USE ONLY

Allowed Leaves Availed Leaves Requested Leaves Remaining Leaves
18

Employee: Human Resource Executive

Date: Date:

Remarks, If any:

Head of Department: Chief Executive Officer:

Date: Date: