Application for Leave of Absence Application for Leave of Absence

April 4 2022
Date: ______________ Date: ______________
Bonnafae D. Tameta
Name: ________________________________________________ Name: ________________________________________________
PSR/METABOLIC
Section/Division: ______________________________________ Section/Division: ______________________________________
B
April 11-13 2022
Date of Leave: _________________ No. of day/s: ___________ Date of Leave: _________________ No. of day/s: ___________

____VL ____SL ____EL ____MT ___Others ____VL ____SL ____EL ____MT ___Others

Remarks: VACATION LEAVE Remarks:

______________________________________________________ ______________________________________________________
______________________________________________________ ______________________________________________________
______________________________________________________ ______________________________________________________

Applicant’s Signature: ______________________ Applicant’s Signature: ______________________

Approved by: Approved by:

Immediate Superior: ________________________ Immediate Superior: ________________________

For HRD use only For HRD use only

VL SL EL MT OTHERS VL SL EL MT OTHERS
LEAVE CREDITS LEAVE CREDITS
LESS: THIS LEAVE LESS: THIS LEAVE
BALANCE BALANCE

Noted by: Noted by:

________________________ ________________________
STELLA V. ZAPANTA STELLA V. ZAPANTA
VP – HR and Administration VP – HR and Administration
Note: For Sick leave of more than 3 days, please attach medical certificate. Note: For Sick leave of more than 3 days, please attach medical certificate.