Document Title G.1 Leave Form Version No.
01
The Legian II – NIA Road Complex Section Title Employees Leave Form Pages 1
Consumers Cooperative
Revision No. 1 Date March 30,
2019
Prepared/Date Reviewed/Date: Approved:
Secretary/ December 15, 2019 Chairperson Board of Dirtectors
Employees Leave Form
NAME: ELVIE M. SOBREVILLA EMPLOYEE Number: 2014 – EMS005
RANK: General Manager Division.: .Management TEL.: 09202354391
LEAVE CATEGORY NUMBER OF DURATION (all CONTACT DETAILS WHILE ON
DAYS/ MONTHS dates included) LEAVE
1. Annual leave1 Address: Geschwister scholl str
2. Accumulated leave1 724937 flenburg, Hamburg,
3. Leave of absence (LOA)1 80 December 30, 2019 Germany
– March 29, 2020
4. Maternity Leave2
5. Sick-leave3
6. Leave without pay (LWP)3
7. Compassionate Leave1 Tel.: +49 1706599092
(1Working days; 2months; 3 calendar days)
For any further information regarding any kind of leave types please refer to the Manual of Operations.
SUPPLEMENTARY INFORMATION: (use a separate page if necessary)
The pupose of this leave of absence is due to my visit to my daughter and grandchildren in Hamburg,
Germany. This leave is charged to the leave credits subject to usual accounting and audit guidelines.
....................................................................... ....................................
Signature of Applicant Date
RECOMMENDATION: APPROVAL:
............................................................... ................... ANDY NESTOR RYAN PAZON
.............................................. ........................
Immediate Supervisor Date Chairperson Date