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Leave Request Form

This leave request form contains sections for employees to provide information about the type of leave being requested, leave dates, emergency contacts, travel details if applicable, and requires signatures from the employee, department manager, and HR. It tracks the employee's annual leave balance and number of days being requested.

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heshamelkishk
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0% found this document useful (0 votes)
60 views1 page

Leave Request Form

This leave request form contains sections for employees to provide information about the type of leave being requested, leave dates, emergency contacts, travel details if applicable, and requires signatures from the employee, department manager, and HR. It tracks the employee's annual leave balance and number of days being requested.

Uploaded by

heshamelkishk
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Form 10.

2 - Leave Request Form

Leave Request
:Date

Full Name
96
.Employee ID No
:Part 1 Leave Type
Paid:

□ Annual vacation □ Childbirth Leave □ Hajj Pilgrimage Leave □ Death of a Relative Leave

□ Marriage Leave □ Maternity Leave □ Examination Leave □ Sick Leave


Unpaid:

□ Emergency

□ Other (please specify & provide the necessary documents):

:Part 2 Leave Information


Last Working Day Return to Work Day Duration of Leave (days)

:Part 3 Emergency Contacts


Name Telephone Address
Part 4 Ticket(s) Entitlements (As per Contract)
Approved Dependents Ticket(s) Entitlements

) ( Adults ) ( Yes
Child ( ) No ( )
Travel Sector Ticket(s) Class
From:________ To:________
Economy Business First Class
One Way Return
Visa
Exit Re-Entry Exit Only Others
Part 6 Employee’s Signature and Approval

Employee’s Signature: …..…..…………… Department Manager’s Signature:………………


Date: …../…../…………. Date: …../…../………….

Replacement Name:…………………………………..Replacement signature:………………….Date:……/…../…………


Part 7 HR and Administration Use Only
Days Eligible Vacation Earned to No. of Days Balance of Total Number of Days Remaining
Annually Date Used Unused Date Days Requested After This Vacation

HR Manager’s Signature:………………………
Date: …../…../………….
Original: Employee FileBNM

March 7, 2024 1 Developed by HR Dept.

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