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Leave Request Form

The Leave Request Form is a structured document for employees to request leave, requiring personal and leave details to be filled out in bold letters and submitted to HR five days prior to the leave start date. It includes sections for staff information, leave type, dates, reliever information, and necessary approvals from supervisors and HR. The form also allows for remarks and tracks leave balance as of a specific date.

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henrychidera2002st
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24 views2 pages

Leave Request Form

The Leave Request Form is a structured document for employees to request leave, requiring personal and leave details to be filled out in bold letters and submitted to HR five days prior to the leave start date. It includes sections for staff information, leave type, dates, reliever information, and necessary approvals from supervisors and HR. The form also allows for remarks and tracks leave balance as of a specific date.

Uploaded by

henrychidera2002st
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

LEAVE REQUEST FORM

(To be filled in BOLD letters and submitted to HR 5 days before leave start date)

Staff Personal Information

Full Name: ………………………………………………………….…………………………. Staff ID Number: ………………….

Location: ………………………………………………………………………………… Job Role: …………………………………….

Current Phone Number: ………………………………………………………………………………………………………………..

Current Residential Address: ………………………………………………………………………………………………………...

Information on the Current Leave Request

Type of Leave Requested: Annual Leave / Maternity Leave / Others? Specify ………………………………….

Start Date: …………………………………. End Date: ……………………………….. Resumption Date: …………………..

Number of Leave days: ………………………….. Cumulative Leave days taken: ………………………………………

Sign/ Date: …………………………………………………………………………………………………………………………………

Reliever’s Information

Reliever’s Name: …………………………………………………………………………………………………………………………..

Phone Number/ Email: …………………………………………………………………………………………………………………

Signature: …………………………………………………………………………………………………………………………………….

Authorizing officer’s Approvals

Direct Supervisor’s Name: …………………………………………………………………………………………………………….

Signature / Date: ………………………………………………………… Email: …………………………………………………….

CM/ SMD/ DFO, Name & Signature: …………………………………………………………………… Date: ………………..

District Manager, Name & Signature: ………………………………………………………………….. Date: ……………….

Review – Alexander Marius Human Resources Approval

Leave Balance: ………………………… days as at ………/………/ 20…

HR Assistant, Name & Signature: …………………………………………………………………………. Date: ………………

HR, Name & Signature: ………………………………………………………………………………………… Date: ……………..


Remarks

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