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LeaveForm.v2016 LeaveForm.

v2016
Natrapharm

Application for Leave of Absence Application for Leave of Absence

Date: ______________
Name: ________________________________________________
Name: ________________________________________________
Section/Division: ______________________________________
Section/Division: ______________________________________
Date of Leave: _________________ No. of day/s: ___________
Date of Leave: _________________ No. of day/s: ___________
____VL ____SL ____EL ____MT ___Others
____VL ____SL ____EL ____MT ___Others
Remarks:
______________________________________________________ Remarks:
______________________________________________________ ______________________________________________________
______________________________________________________ ______________________________________________________
______________________________________________________
Applicant’s Signature: ______________________
Applicant’s Signature: ______________________
Approved by:
Immediate Superior: ________________________ Approved by:
Immediate Superior: ________________________

For HRD use only


VL SL EL MT OTHERS For HRD use only
LEAVE CREDITS VL SL EL MT OTHERS
LESS: THIS LEAVE LEAVE CREDITS
BALANCE LESS: THIS LEAVE
BALANCE
Noted by:
Noted by:
________________________
STELLA V. ZAPANTA ________________________
VP – HR and Administration STELLA V. ZAPANTA
Note: For Sick leave of more than 3 days, please attach medical certificate. VP – HR and Administration
Note: For Sick leave of more than 3 days, please attach medical certificate.

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