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.