SAMSON Controls FZE
LEAVE APPLICATION FORM
For Employee's Use:
Name:
Date of Joining:
Department:
TYPE OF LEAVE/TIME OFF(Tick the appropriate) Start date
Time Off
Annual Leave
Maternity Leave
Umrah/Hajj Leave
Publick Holiday
Spl. Rel Day Off Festival Name
Compensation Leave
Contact details in leave Address
(UAE/Homa country)
Contact#
Ticket Required Yes N/A
Destination From: To:
(*Ticket provision as per company policy)
Employee's signature Department Supervisor/Manager signa
FOR HRD/ADMIN USE ONLY
Leave Type : Entitled : Avalid: Balanc
Start date End date Total days Balance
Ticket provided: Yes N/A
Comments:
Shaheen Ara Signature:
FOR ACCOUNTS DEPT.USE ONLY
Holidau Allowance entitled: Yes No
Holiday Allowance: Paid Amount AED
Adjustment due(If any) Amount AED
Comments:
Murtaza Vora Signature:
FOR MANAGIING DIRECTOR's USE ONLY
Approved Declined
Comments:
OUISSEM OUREMI
Prepared by: SAB Approved by: MD
1. Employee has to submit leave application form
2. Leave application must be verified by HR and f
3. The orignal application will be returned to HR a
4. All application to be submitted before 10am to
SAE-300-QF-10.4
Date:
CEC NO:
End date/tHrs/Days Tick Compensate or for Leave adjustment
C or L
N/A
To:
Supervisor/Manager signature with date:
DMIN USE ONLY
Balance: Excess:
Rejoining date Paid/Unpaid Remarks
ture: Date:
S DEPT.USE ONLY
No N/A
ature: Date:
DIRECTOR's USE ONLY
Declined
Signature: Date:
Approved by: MD HR Forms # SAE-300-QF-10.4 Rev. No. 03 Dated: 25.05.2017
HOW TO SUBMIT LEAVE APPLICATIONS
mit leave application form at least 1 month proir to leave dates.
ust be verified by HR and forward it to Account dept.
on will be returned to HR after Accounts use. Employee will be given a copy.
submitted before 10am to HR for approval process. Approval process tome maximum 2 working days.
Date:
Dated: 25.05.2017