ULTRA MANPOWER SOLUTIONS CORPORATION

LEAVE FORM
Employee's Name: Date Prepared:
Department:

Employment Status: Regular_______ Project_______ Others_______

Data Requested From_________________________to____________________ Num. of Days__________

Reason for Leaving:

___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Address while leaving:
___________________________________________________________________________________________________

Action on Application:
Approved______________________ Denied:________________________________________________

Employees Signature Approving Officer

For HR's Use Only

Beginning Balance:__________________ Applied:_______________________ Ending Balanse:_________________

Remarks:________________________________________________________________________________________

HR Supervisor
ULTRA MANPOWER SOLUTIONS CORPORATION
LEAVE FORM
Employee's Name: Date Prepared:
Department:

Employment Status: Regular_______ Project_______ Others_______

Data Requested From_________________________to____________________ Num. of Days__________

Reason for Leaving:

___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Address while leaving:
___________________________________________________________________________________________________

Action on Application:
Approved______________________ Denied:________________________________________________

Employees Signature Approving Officer

For HR's Use Only

Beginning Balance:__________________ Applied:_______________________ Ending Balanse:_________________

Remarks:________________________________________________________________________________________

HR Supervisor