MMS-HRD-01-F20

LEAVE APPLICATION FORM Rev 6

14.08.2022

1. LEAVE APPLICATION DETAILS

Employee Name Robin Raj Request Date 18-Nov-2023
Position Team Leader Employee No. 7082

Qatar ID Number 28935605110 QID Expiry Date 5-Jun-2024

Department Operation Date Hired 18-Nov-2011
Site / Location Serdal Tower Contact No. 77875107
2. TYPE OF LEAVE REQUESTED
Type of Leave Start Date End Date Total No. of Days Notes
Should be submitted to HR on or before 60 days prior
Annual Leave 1-Dec-2024 31-Dec-2024 31 to leave start date. (Fill-up no. 3 & 4)

Should be submitted on or before 10 days prior to leave

Local Leave start date.
Optional Leave is not allowed for 2 consecutive days or
Optional Leave with another type of leave. Should be submitted on or
before 7 days prior to leave start date.

Emergency Leave

Sick Leave Provide medical certificate

Maternity Leave
Should be submitted on or before 7 days prior to leave
Offset / Others date.

3. TRAVEL DETAILS (for Annual or Emergency Leave, others…)

Home Address

Exit Permit required? ☐ Yes ☐ No Date to resume work

☐ Company purchased ticket ☐ Self-purchased ticket

Ticket Entitlement
☐ Spouse ☐ Child 1 DOB: ☐ Child 2 DOB:
4. FLIGHT DETAILS
Departure From Arrival To Type Date Flight No

Doha Cochin

Cochin Doha

 I acknowledge that I must return to work on the date agreed or as per approved schedule. Any subsequent changes must be first
agreed and approved by the Head of Department or the General Manager.
 I acknowledge that upon return to Qatar, I must comply with the mandatory quarantine period, which will be covered by my Annual
Leave, otherwise unpaid leave.
 I acknowledge that in case I am unable to return to Qatar, due to travel restrictions and/or changes in mandatory quarantine period in
my home country, I will be subject to the same rules whichever applicable i.e. using remaining leave balances or being placed on
unpaid leave to cover my absences with associated impact to my salary.
 I acknowledge that in the event of overstay for more than seven days without notice or legitimate causes, it shall be deemed that I
have resigned and my employment is terminated with forfeiture of all termination benefits, as per Qatar Labour Law Article 61 item (9)
Approved by: Approved by:
Employee Signature Line Manager Department Head
Name & Signature Date signed Name & Signature Date signed Name & Signature Date signed

Human Resources Use Only

Received by Date Received

Leave Balances Decision ☐ Approved ☐ Unpaid

Flights processed by

Verified by (Sr. HRO)

Distribution
Admin for Exit Permit ☐Yes ☐ No Comments:
Employee’s Personal file ☐Yes ☐ No Employee ☐ Yes ☐ No

HR Manager General Manager

Name & Signature Date Name & Signature Date

Note1: GM signature is required for Department Head’s leave application, or as deemed necessary.