Leave Request
Holford Facilities Management
Applicant Area (Submit to HR)
Date
Destination
Name
Country/ Airport
Employee No.
Department Home Contact No.
Leave From DD/MM/YY Total Number
Schedule To DD/MM/YY of days
Leave Reason Applicant Signature
Annual Vacation
Emergency Leave
Maternity/ New Born
Sick Leave
HR Area (Submit to Department)
Joining Date
Vacation Starting Date
Vacation End Date
Total Number of days Requested
Number of Off-Days gained
Balance Off-Days
Ticket Provided by
Company's Assets No Completed by (HR)
Returned Yes- _________________ Date/ Signature
No Noted by (ACC)
Outstanding Loans
Yes- Amount_____________SAR Date/ Signature
Attachments Attendance Sheet Clearance Form Tools Log
Guarantor (if required)
I promise to pay the unpaid amount detailed below to Holford FM if the above employee does not return from his leave.
Name
Amount
Date
Signature
Department Area (Submit to MD)
Checked By (Employee's direct Superior) Head Of Department
Name Name
Date Date
Department Department
Approved Rejected Approved Rejected
Comments Signature Comments Signature
MD Area (Return to HR)
Approved Rejected
Comments Signature
HFM-HR-01-F07
19.08.2015 Rev.00