LEAVE APPLICATION
Employees Name:
Department :
Vacation Leave without pay
Vacation Leave
Sick leave without pay
Sick Leave
Compassionate Leave
Annual Leave
Other, please specify
Period from
________________
____________ to ______________
(First day of leave)
(Last day of leave)
Total 1_ day/s and returning to work on:________________
HR USE ONLY
No. of days applied for ______
leave : _____________
Employees Signature:
Date
Total Balance of ___ Leave:
As of __________
Approved By:
-------------------------------------------------------------------------------------------------------------------------To: ____________________
Date:_____________________
RETURN TO APPLICANT
No. of days applied for ______
_____________
Period:
Total Balance of Annual Leave:
As of _____________
leave:
Verified By: