TO BE COMPLETED AS PER THE COMPANY'S LEAVE PROCEDURE

LEAVE REQUEST & APPROVAL FORM

DAVINDER SINGH SPRAY PAINTER 1

Employee Name Employee Title Employee

I request leave from Tuesday 13-Dec-16 To: Friday 8

Day Date Day Date

Absence is requested for the following purpose:

Annual leave with
pay Elections Compassionate leave
Leave without pay Birth of child Business leave

Sick leave R&R

Maternity leave Industrial injury

The address while on leave: V.P.O- Ranipind, PS Tanda,Hoshiarpur, Punjab, INDIA.

Tel: +91 987636

Duty shall be resumed on: Monday 9-Jan-17

Day Date
I will be replaced by N/A Signature of reliever:

Signature: Date: 25-Nov-16

Endorsement by Department Head & Project Manager (Request approved subject to verification of eligibility by Personnel Department)

Name: Jamil Majzoub Initiated: Date: 25-Nov-1

Name: Approved: Date:

Name: Approved: Date:

For Personnel Department Use Only

Annual Leave From

Leave without pay [ ]
With pay days accumulated[ ] As of: Compassionate leave [ ]
Maternity leave [ ]
Less days now granted: [ ] Sick leave with pay [ ]
From To Sick leave without pay [ ]
Balance: [ ] Industrial injury leave [ ]
Marriage [ ]
Birth of child [ ]
Elections [ ]
Business leave [ ]
Holidays [ ]
Travel Days [ ]

Comments:

Prepared by: Signature: Date:

Checked & Approved by Signature: Date:

 & APPROVAL FORM

1305155
Employee B/N

8-Jan-17

Compassionate leave
Business leave

Hoshiarpur, Punjab, INDIA.

+91 9876365187

25-Nov-16

To