Document No:
KHI-HR-F-021 1.0 September 2011
LEAVE APPLICATION - WORKERS
Revision No: Effective Date:
PART 1 : To be Completed by Employee
Employee Name: Employee Name: Work Location: Application Date: VACATION RELATED ACCIDENT First Day Of Leave: Total No. Of Days: Employee Address During Absence: Employee Signature SICK M . LATIF ANJUM M . LATIF ANJUM DELMA Employee ID: Employee ID: Joining Date: Labor Card No.: EMERGENCY Last Day Of Leave: Ticket Destination
(After 2 Years Service)
K .1415 K .1415 31 / 07 / 2010 43146187 UNPAID WORK-
15 / 01 / 2012
31 / 01 /2012
15
NO
PAKISTAN
Contact Number: Email (if
applicable)
00923067575390 LATIFLATIF52@YAHOO.COM Dat e:
PART 2 : To be Completed by Team Leader / Supervisor
Replacement Worker Name(s): Comments Approvals Team Leader: Supervisor/Mgr: Dat e: Dat e: Applicatio n Received Date: Dat e: Dat e: Dat e: Dat e: YES NO
PART 3: To be Completed by HR
Last Leave Date Approvals Director: (Team
Leader only)
Last Duty Resumption
HR Officer:
Senior HR Supervisor Tagged In Gulf HR: Salary Required:
YES YES
NO NO
(Attach Gulf HR Copy)
Eligible For Air Ticket
Page 1 of 2
Document No:
KHI-HR-F-021 1.0 September 2011
LEAVE APPLICATION - WORKERS
Revision No: Effective Date:
Salary Amount: LEAVE SALARY APPROVAL Mode Of Disbursal: HR Coordinator Approvals Snr Supervisor HR Director Support Services Finance Manager Payroll Officer PAYROLL
Basic Salary (AED) CHEQUE Dat e: Dat e: Dat e: Dat e: Dat e:
For leave advance and air-ticket booking, application must reach HR (after Supervisor signature) at least one month prior to the leave start date.
Page 2 of 2