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LEAVEREQUEST FORM ci
NAME
EMPLOYEE POSITRO
ATTA
INFORMATION EMPLOYMENTH
SECTOR/PROJECT
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TYPE OF VACATION
VACATION STARTING DATE UNPAID ANNUAL
EMERGENCY SICK LEAVE
VACATION END DATE
Duration of the visa ORER (SPECIPY)
NUMBER OF DAYS replacement
IN CHARGE DURING VACATION IsSUING TECKITS - EXIT RE-ENTRY VISA
A216/ T5 T1| cONTACT# ADDRESS DURING VACATION
DATE EMPLOYEE SIGNATURE
TTT/TIT
DATE
FOR PERSONNEL DEPARTMENT USE ONLY
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