FORM
Leave Application
I. TO BE FILLED-UP BY THE EMPLOYEE
D D M M Y Y
Name ID No. Date
Designation Nationality Location/Dept.
Nature of Leave Annual Leave Sick Leave Others (Specify) Unpaid Leave
D D M M Y Y D D M M Y Y
Days requested Period of Leave from to
Reason for Leave, in case of License
Emergency / Unpaid Leave: Exp. Date
Declaration: I hereby agree that I will return all company property in my custody to the concerned department. I will resume my duty on the
indicated date without fail. If not, the company has the right to recover the loss & damage due to my delay.
Emergency Contact No. During the leave: Signature of the Employee:
II. To be filled-up by HR Department
Employee's Date of Joining: Annual Leave Due Up to:
Total Leave Opening Leave New
Nature of Leave Entitlement Availed Balance Granted Balance
Leave granted
Annual From
Sick To
Others (specify)
Remarks __________________________
if any Signature of the HR Assistant
Date
III. For Head/Branch Office Staff
Substitute details during the applicant’s absence Date
Name ID No. Designation
I have been briefed and given training I hereby confirm necessary turn-over Cleared for financial obligations.
on my new role as substitute. between applicant & substitute.
CLEARANCE
____________________ ____________________ ____________________
Signature of substitute Signature of the Department Head Finance Department
IV. For the Use of Operations (Department Report)
Days Recommended
Reason for non-approval
Signature/Date
Mobile Supervisor Branch Ops Supervisor Branch CR Manager Operations Manager
NSI Coordinator Licensing Coordinator Admin. Officer Operations Supervisor Finance Department
CLEARANCE
V. Approval
HR Manager Chief Executive Officer
Passport Collection
1. I hereby declare that I have read and understood the leave overstay policies and procedures at the back hereof.
2. I have collected my passport from the HR Department.
Applicant’s ID No. Signature Date
Leave Application Rev 6 Once PRINTED, this is an UNCONTROLLED DOCUMENT. Effective Date 17 May 2021
Reference No./Code: 124.6 © Spark Security Services. All Rights Reserved. Page 1 of 3
FORM
Leave Application
POLICIES: :اﻟﺳﯾﺎﺳﺎت
A. All employees must return from vacation/leave on the date ﻋﻠﻲ ﺟﻣﯾﻊ اﻟﻣوظﻔﯾن اﻻﻟﺗزام ﺑﺎﻟﻌودة ﻣن اﺟﺎزاﺗﮭم ﻓﻰ اﻟﻣوﻋد اﻟﻣﻌﺗﻣد ﻓﻲ ﻧﻣوذج طﻠب
specified in their Leave Application. .اﻻﺟﺎزة
B. Any employee who extends their absence beyond the specified أي ﻣوظف ﺳﯾﺗﺧﻠف ﻋن اﻟﻌودة ﻓﻰ اﻟﻣوﻋد اﻟﻣﺣدد ﻟﮫ ﺑدون ﻋزر ﻣﻘﺑول و)ﻣدﻋم ﺑوﺛﺎﺋﻖ
date, without a valid reason (supported by legitimate . ﻣﻘﺑوﻟﺔ ( ﺳﯾﺿﻊ ﻧﻔﺳﺔ ﺗﺣت طﺎﺋﻠﺔ اﻟﻣﺧﺎﻟﻔﺔ
documentation) will be subject to penalty. ،إذا ﻟم ﯾﺗﻣﻛن أى ﻣوظف ﻣن اﻟﻌودة ﻣن اﻷﺟﺎزة )أى ﻛﺎن ﻧوﻋﮭﺎ( ﻓﻰ اﻟﻣوﻋد اﻟﻣﺣدد ﻟﮫ
C. Any employee on leave who will not return on time must make ﯾﺟب ﻋﻠﯾﺔ ان ﯾﻘوم ﺑﺎﺑﻼغ ﻣدﯾر اﻟﻣوارد اﻟﺑﺷرﯾﺔ ﺳواء ﻋن طرﯾﻖ ) اﻟﺑرﯾد اﻻﻟﻛﺗروﻧﻲ
contact with HR (via email or fax) and: (او اﻟﻔﺎﻛس
· Advise the reason for the overstay :وﯾﻠﺗزم ﺑﺎﻻﺗﻲ
· Specify their anticipated return date .* اﻹﺑﻼغ ﻋن ﺳﺑب ﺗﺄﺧره ﻓﻰ اﻟﻌودة ﻣن اﻷﺟﺎزة ﻓﻰ اﻟوﻗت اﻟﻣﺣدد
(Note: It is the responsibility of the employee to confirm that the HR .* ﺗﺣدﯾد اﻟﻣوﻋد اﻟﺟدﯾد أو اﻟﻣﺗوﻗﻊ ﻟﻌودﺗﺔ
has been contacted) :ﻣﻠﺣوظﺔ
D. The employee shall acknowledge the overstay policy indicated ﺗﻘﻊ ﻛﺎﻓﺔ اﻟﻣﺳؤوﻟﯾﺔ ﻋﻠﻲ اﻟﻣوظف ﻟﻠﺗﺄﻛد ﻣن إﺑﻼغ وﻣواﻓﻘﺔ ﻣدﯾراﻟﻣوارد اﻟﺑﺷرﯾﺔ ﻋﻠﻰ
below. .طﻠﺑﮫ
E. Penalties: Any unjustified Leave overstay will receive the - :ﯾﺟب ﻋﻠﻰ اﻟﻣوظف اﻹطﻼع ﻋﻠﻰ ﺳﯾﺎﺳﺔ ﺗﺟﺎوز اﻻﺟﺎزة واﻟﺗوﻗﯾﻊ ﻋﻠﻰ اﻟﺗﻌﮭد اﻟﺗﺎﻟﻰ
following disciplinary action: أي ﺗﺟﺎوز ﻟﻼﺟﺎزة ﻏﯾر ﻣﺑرر أو أي ﺗﺎﺧﯾرﻓﻲ اﻟﻌودة ﻣن ﻗﺑل اﻟﻣوظف ﺳوف ﯾطﺑﻖ
-: ﻋﻠﯾﮫ إﺣدى اﻻﺟراءات اﻟﺗﺎدﯾﺑﯾﺔ اﻟﺗﺎﻟﯾﺔ
· Case (1)
If the employee has not sent any request to extend his leave and -: اﻟﺣﺎﻟﺔ اﻷوﻟﻲ
couldn’t provide the supporting documents to justify his overstay: اذا ﻟم ﯾﻘم اﻟﻣوظف ﺑﺎرﺳﺎل طﻠب ﻣد اﻷﺟﺎزة اﻟﻲ ﻗﺳم اﻟﻣوارد اﻟﺑﺷرﯾﺔ وﻟم ﯾﻘدم
-:اﻟﻣﺳﺗﻧدات اﻟﺗﻰ ﺗدﻋم طﻠﺑﮫ
Days overstayed Fine Imposed AED /day
اﻟﻐراﻣﺔ اﻟﻣوﻗﻌﺔ ﻋﻠﻲ ﻛل ﯾوم ﺗﺄﺧﯾر ﻣدة اﻟﺗﺄﺧﯾر م
1 1 - 15 100
درھم100 15-1 1
2 16 – 30 110
درھم110 30-16 2
3 31 – 45 120
درھم120 45-31 3
· Case (2)
-:اﻟﺣﺎﻟﺔ اﻟﺛﺎﻧﯾﺔ
If the employee has sent a request to extend his leave (Telephone
اذا ﻗﺎم اﻟﻣوظف ﺑﺎرﺳﺎل طﻠب اﻟﻲ ﻗﺳم اﻟﻣوارد اﻟﺑﺷرﯾﺔ ﺑﻣد اﺟﺎزﺗﺔ ﻋن طرﯾﻖ
calls are not accepted) thru fax or email but failed to provide genuine
supporting documents to justify his overstay/or documents are not
وﻟﻛﻧﺔ ﻓﺷل ﻓﻲ ﺗﻘدﯾم اﻟﻣﺳﺗﻧدات اﻟداﻋﻣﺔ ﻟﻠطﻠب أو أن, ( اﻟﻔﺎﻛس,) اﻟﺑرﯾد اﻻﻟﻛﺗروﻧﻲ
accepted for invalidity. -: اﻟﻣﺳﺗﻧدات اﻟﻣﻘدﻣﺔ ﻟم ﺗﻘﺑل ﻟﻌدم ﺻﻼﺣﯾﺗﮭﺎ أو ﻹى ﺳﺑب اﺧر
Days over stayed Fine Imposed AED /day اﻟﻐراﻣﺔ اﻟﻣوﻗﻌﺔ ﻋﻠﻲ ﻛل ﯾوم ﺗﺄﺧﯾر ﻣدة اﻟﺗﺄﺧﯾر م
1 1 - 15 50
درھم50 15 -1 1
2 16 – 30 75
درھم75 30 - 16 2
3 31 – 45 100 درھم100 31-45 3
“I hereby declare that I have read and understood the leave اﻗر أﻧﺎ اﻟﻣوﻗﻊ أدﻧﺎه أﻧﻧﻰ ﻗرأت وﻋﻠﻲ ﻋﻠم ﺑﺳﯾﺎﺳﺔ واﺟراءات ﺣﺎﻻت ﺗﺟﺎوز ﻣدة
overstay policies and procedures. I acknowledge that if I overstay اﻻﺟﺎزة وأﻧﺎ ﻋﻠﻰ ﻋﻠم أﯾﺿﺎ ً أﻧﮫ إذا ﺗﺟﺎوزت ﻣدة أﺟﺎزﺗﻰ ﺑدون ﻋﻠم وﻣواﻓﻘﺔ
my leave date without prior information and approval by the وﯾﺣﻖ ﻟﻠﻣؤﺳﺳﺔ ان، ﻓﯾﻌﺗﺑر ذﻟك اﻹﻗرار ﺑﻣﺛﺎﺑﺔ اﺳﺗﻘﺎﻟﺔ،اﻹدارة ﻷي ﺳﺑب ﻛﺎن
management for any reason, the company may consider the same .ﺗﻘوم ﺑﺎﻧﮭﺎء ﺧدﻣﺎﺗﻲ وﺗرﺣﯾﻠﻲ اﻟﻲ وطﻧﻲ ﻋﻠﻲ ﻧﻔﻘﺗﻲ اﻟﺧﺎﺻﺔ
as resignation and will have the right to terminate my contract
and deport me to my home country on my own cost.”
“Further, I hereby acknowledge that I am still currently employed ﻛذﻟك أﻗر ﺑﻣوﺟﺑﮫ اﻧﻧﻰ ﻻ أزال اﻋﻣل ﻟدى اﻟﻣؤﺳﺳﺔ واﻧﮫ ﺑﺗوﻗﯾﻌﻲ ﻋﻠﻰ ھذا
by the Company and that by signing this clearance, I guarantee ﺑﺎﻧﮫ ﻟﯾس ﻟدى أى ﻣطﺎﻟﺑﺎت ﺳواء ﻓﻰ، أﺿﻣن وأواﻓﻖ ﺑﻣوﺟب اﻟﻘﺎﻧون،اﻹﻗرار
under pain of legal sanction that I have no claims against the ﺣﯾث ﺗم، ﺿد اﻟﻣؤﺳﺳﺔ ووﻛﺎﻟﺔ اﻟﺗوظﯾف،اﻟوﻗت اﻟﺣﺎﻟﻰ او ﺧﻼل ﻓﺗرة أﺟﺎزﺗﻲ
Company and the recruitment agency as of today and during my .إﺳﺗﻼﻣﮭﺎ ﺑﺎﻟﻛﺎﻣل
leave period as the same have already been satisfied.”
Signature: :اﻟﺗوﻗﯾﻊ
Name: :اﻻﺳم
ID No.: :اﻟرﻗم
Date: :اﻟﺗﺎرﯾﺦ
Home country contact no. 1 : 1 رﻗم اﻟﺗواﺻل ﻓﻰ اﻟﺑﻠد اﻷم
Home country contact no. 2 : 2 رﻗم اﻟﺗواﺻل ﻓﻰ اﻟﺑﻠد اﻷم
e-mail address : اﻟﺑرﯾد اﻻﻟﻛﺗروﻧﻲ
Leave Application Rev 6 Once PRINTED, this is an UNCONTROLLED DOCUMENT. Effective Date 17 May 2021
Reference No./Code: 124.6 © Spark Security Services. All Rights Reserved. Page 2 of 3
FORM
Leave Application
1. FEEDBACK
Company staff may provide feedback about this document by emailing gizel@[Link].
2. APPROVAL AND REVIEW DETAILS
Approval and Review Details
Approval Authority CEO
Advisory Committee to Approval Authority HR
Administrator Human Resources Manager
Next Review Date Dec 2023
Approval and Amendment History Details
Original Approval Authority and Date CEO, 30 May 2008
Amendment Authority and Date
· Rev 6 HR 17 May 2021
· Rev 5 HRM 26 Aug 2018
· Rev 4 GM 5 Jul 2017
· Rev 3 GM 27 Sep 2015
Notes
This document replaces HR_Form_124 – Leave Application Rev 5.
Leave Application Rev 6 Once PRINTED, this is an UNCONTROLLED DOCUMENT. Effective Date 17 May 2021
Reference No./Code: 124.6 © Spark Security Services. All Rights Reserved. Page 3 of 3