EMPLOYEE LEAVE REQUEST FORM

HUMAN RESOURCE COPY

Dept./Location: RI-UNICEF Last Mile Project/ Samar Province Date of Hired: August 25,2023

Employee Name: Evelyn R. Batibot

Dates of Leave: 06 October 2023

Year_2023 Month: October Total Leave Days Requested: 1

Vacation: ______________ Sick: _____________ ATO: _____________ Unpaid: ____________ Other: _______________

Signature of Employee: Date: 10/03/2023

(mm/dd/yy)

APPROVAL

1. Supervisor Name: LAWRENCE S. ESPINA Signature: …………………………………… Date:

2. HR Manager: ANGELICA P. ORTIZ Signature: …………………………………… Date:

LEAVE MONITORING
Balance at date of request Vac ________ Sick _________ ATO __________ Other ____________
Balance after request Vac ________ Sick _________ ATO __________ Other: ____________

……………………………………………………………………………….…………………………………………………………………………………………………

EMPLOYEE LEAVE REQUEST FORM

EMPLOYEE COPY
Dept./Location: RI-UNICEF Last Mile Project/ Samar Province Date of Hired: August 25, 2023

Employee Name: Evelyn R. Batibot

Dates of Leave: 06 October 2023

Year_2023 Month: October Total Leave Days Requested: 1

Vacation: ______________ Sick: _____________ ATO: _____________ Unpaid: ____________ Other: _______________

Signature of Employee: Date: 10/03/2023

(mm/dd/yy)

APPROVAL

1. Supervisor Name: LAWRENCE S. ESPINA. Signature: …………………………………… Date:

2. HR Manager: ANGELICA P. ORTIZ Signature: …………………………………… Date:

LEAVE MONITORING
Balance at date of request Vac ________ Sick _________ ATO __________ Other ____________

Balance after request Vac ________ Sick _________ ATO __________ Other: ____________

Shortened Leave Request Form