Leave Application Form
(Ref#LAF/Form07/01)
Date of Application: ___________________
Employee No.:
Employment Status:
Employee Name:
Job Title:
Division:
Department:
Telephone #:
Mobile #:
Local/U.A.E Address:
Overseas Address:
To be filled up by Employee:
Description Date From Date To Total # of Days
Annual ______________ _____________ ____________
Vacation ______________ _____________ ____________
Sick ______________ _____________ ____________
Emergency ______________ _____________ ____________
B-Day ______________ _____________ ____________
Paternity/Maternity ______________ _____________ ____________
I understand that overstay is not allowed unless it is approved by HRC or in case of unavoidable circumstances in which case/s report should be submitted.
____________________________
Signature of Applicant
To be filled up by Human Resource:
Description of Last Leave Availed: __________________ W/ Pay ______ W/O Pay _______
Date From Date To Total # of Days
_______________ _____________ ____________
New Application Comments/Remarks: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________ _________________________
Signature of Immediate Superior/Manager Date Approved
Created/2010
