Door 8, Taloto Tourist Apartment
Taloto District, Tagbilaran City 6300
LEAVE APPLICATION FORM
Name: ______________________________________ Date Filed: ______________________________
Position: ________________________________ Department: _________________________________
PURPOSE OF LEAVE: ( ) Vacation Leave ( ) Sick Leave ( ) Solo Parent Leave
( ) Bereavement Leave ( ) Maternity/Paternity ( ) Leave Credits
( ) Others, please specify: ________________________________________
TYPE OF LEAVE: ( ) With Pay ( ) Without Pay
Employee’s Remaining leave as of today: VL: __________ SL: __________ LC: _________
Number of Days Applied For: _________ Inclusive Dates: __________________________________
Reason: _______________________________________________________________________________
Employee’s Signature: ____________________________
REMARKS: ( ) Approved ; ( ) Disapproved, due to: ___________________________________
APPROVED BY: ________________________________ VERIFIED BY: ____________________________
Approving Officer HRD
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Door 8, Taloto Tourist Apartment
Taloto District, Tagbilaran City 6300
LEAVE APPLICATION FORM
Name: ______________________________________ Date Filed: ______________________________
Position: ________________________________ Department: _________________________________
PURPOSE OF LEAVE: ( ) Vacation Leave ( ) Sick Leave ( ) Solo Parent Leave
( ) Bereavement ( ) Maternity/Paternity ( ) Leave Credits
( ) Others, please specify: ________________________________________
TYPE OF LEAVE: ( ) With Pay ( ) Without Pay
Employee’s Remaining leave as of today: VL: __________ SL: __________ LC: _________
Number of Days Applied For: _________ Inclusive Dates: __________________________________
Reason: _______________________________________________________________________________
Employee’s Signature: ____________________________
REMARKS: ( ) Approved ; ( ) Disapproved, due to: ___________________________________
APPROVED BY: ________________________________ VERIFIED BY: ____________________________
Approving Officer HRD