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Leave Request Form | PDF | Employment Compensation | Industrial Relations
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Leave Request Form

The document is a Leave Application Form used by employees to request various types of leave, including annual, sick, maternity, and paternity leave. It requires details such as employee information, leave dates, leave balance, and a contact address during the leave period. Approval from the departmental head and HR is necessary, and applications must be submitted at least two weeks in advance.

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Peter Mutuku
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37 views1 page

Leave Request Form

The document is a Leave Application Form used by employees to request various types of leave, including annual, sick, maternity, and paternity leave. It requires details such as employee information, leave dates, leave balance, and a contact address during the leave period. Approval from the departmental head and HR is necessary, and applications must be submitted at least two weeks in advance.

Uploaded by

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

: PTL/HRA/FM01
LEAVE APPLICATION FORM
Rev.: 01 of 24th Feb 22 Page 1 of 1

DEPARTMENT_______________________________________________________
Employee Name:

Employee Number Passport/ID No:


Total Absent
Days*
Leave Start Date ______________________________
Leave End Date ______________________________
____________

Leave Balance ________________________________

Mention the Dates No of Days

T 1. ANNUAL LEAVEi
Y 2. SICK LEAVE
P
E 3. MATERNITY LEAVE

O 4. PATERNITY LEAVE
F 5. EMERGENCY LEAVE

L 6. COMPASSIONATE LEAVE
E
7. OTHER (SPECIFY BELOW)
A
V
E TOTAL DAYS ( should be same as that of total absent days indicated
above at *)
In my absence my duties will be handled by:

Address/ Contact during Leave: Cell No:

REQUESTED BY: SIGNATURE DATE

APPROVED BY NAME & SIGNATURE DATE

Departmental Head

Head of Human Resource and Admin

Managing Director

COMMENTS....................................................................................................................................................................................
..........................................................................................................................................................................................................

All annual leave must be applied for at least 2 weeks in advance to allow for proper planning

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