Document Name: Leave Application Form

Leave type: Others ‫نوع اإلجازة‬:

leave Type in case of others ‫نوع اإلجازة في حاله أخرى‬
Name: ‫ االسم‬: Date: ‫ التاريخ‬:
Emp. No. ‫ الرقم الوظيفي‬: Cost Center: ‫ مركز التكلفة‬:
Department: ‫ اإلدارة‬: MOB: ‫الجوال‬:
Leave Start ‫ بداية االجازة‬Leave End ‫ نهاية االجازة‬: Work Resume ‫ مباشرة العمل‬:

No. of days

single multiple/
Ticket Booking ‫ التذكرة‬Hotel Booking ‫حجز فندق‬ Exit\Re-entry: /‫مفردة‬ ‫متعددة‬

Ticket Allowance ‫ بدل التذكرة‬Car Rental ‫تأجير سيارة‬

Date ‫التاريخ‬ From ‫من‬ To ‫الي‬ Class ‫الدرجة‬

Person Traveling (Name as Passport) Date of Birth(D/M/Y) Age

‫العمر‬
)‫اسماء المسافرين ( حسب الجواز‬ )‫سنه‬/‫ شهر‬/‫تاريخ الميالد ( يوم‬

Self ‫الموظف‬

Wife ‫الزوجة‬

Child 1 ‫طفل‬

Child 2 ‫طفل‬

Per Diem or Adance Payment To be Paid Daily as Per Policy (max allowed) NO of Days Total
‫ أو مبلغ يومي‬/ ‫سلفة مقدمة‬ ‫ما يدفع بشكل يومي حسب النظام‬ ‫عدد االيام‬ ‫االجمالي‬

Total Per Diem or Adance Payment

‫اجمالي البدل اليومي أو اجمالي السلفة المقدمة‬

Employee Signature Direct Manager Signature Dept Head or CEO

‫توقيع الموظف‬ ‫توقيع المدير المباشر‬ ‫ الرئيس التنفيذي‬/ ‫مدير اإلدارة‬

For HR Use Only ‫الستخدام ادارة الموارد البشرية‬

Ticket For The Year ‫التذكرة لسنة‬ Enterd ‫تسجيل‬ Notes/Reason ‫ مالحظات‬Rejected ‫رفض‬

Employee ‫ الموظف‬No ‫ال‬ Yes ‫نعم‬

Family ‫العائلة‬

Exit /RE-Entry Visa Fee ‫رسوم التأشيرة والخروج والعودة‬

Employee ‫الموظف‬

Group/B.U. ‫الشركة‬

HR Manager
‫مدير الموارد البشرية‬
Notes:
1- The application form must be completed in full and any incomplete application will be rejected.
2- Requests for leave of three days or less must be submitted at least one week prior to taking leave.
3- Requests for leave of more than three days must be submitted at least two weeks prior to taking leave.
4- Sick*/Death* Leave requests may be submitted retroactively, i.e. after the leave has been completed.

5- Submitting a leave request does not constitute final approval of the request. The relevant parties will be informed of the result of the request, whether it is
accepted or rejected, within a period not exceeding 5 working days.
6- A Hajj leave request will not be approved unless a Hajj permit is attached, and a exam schedule must be attached with any exam leave request. The company must
also be provided with proof of attendance at the tests upon resumption of work.
7- Death leave will only be approved in the event of the death of a first-degree relative of the employee's immediate family or extended family, and the company
reserves the right to request supporting documents for Death or Exams leave