SERVFLEX, INC.

Don Tim Building 5438 South Superhighway Bangkal Makati City

APPLICATION FOR LEAVE OF ABSENCE
Date Filed
To
From

:
:

HUMAN RESOURCES DEPARTMENT

Employee Name and Signature

Employee No.

Project Assigned:
I would like to request for _______________ days
( ) leave without pay
( ) leave with pay

( ) Incentive Leave
( ) Paternity Leave
( ) Maternity Leave
from ___________________ to _________________, 20 ___.

Purpose: _____________________________________________________________________________________________________________

FOR CLIENT REMARKS

( ) Approved

FOR SERVFLEX, INC

( ) Approved

( )

( )

Disapproved
Disapproved
Proj. Supervisor / Leadman /
Date

Authorized Signature / Date

( ) Approved

( )

HRD Record:
Total Leave Credits Available to Date: ______Less this Leave______=Remaining Leave Credits:________
HRD Assistant:_______________________Date:________________________
Advice Received by:____________________________ Date:___________________________
Accounting Department
*Please prepare in 3 copies
SERVFLEX, INC.
Don Tim Building 5438 South Superhighway Bangkal Makati City
APPLICATION FOR LEAVE OF ABSENCE
Date Filed
To
From

:
:

HUMAN RESOURCES DEPARTMENT

Employee Name and Signature

Employee No.

Project Assigned:
I would like to request for _______________ days
( ) leave without pay
( ) leave with pay

( ) Incentive Leave
( ) Paternity Leave
( ) Maternity Leave
from ___________________ to _________________, 20 ___.

Purpose: _____________________________________________________________________________________________________________

FOR CLIENT REMARKS

( ) Approved

( )

FOR SERVFLEX, INC

( ) Approved

( )

Disapproved
Disapproved
Proj. Supervisor / Leadman /
Authorized Signature / Date

Date
( ) Approved

HRD Record:
Total Leave Credits Available to Date: ______Less this Leave______=Remaining Leave Credits:________
HRD Assistant:_______________________Date:________________________
Advice Received by:____________________________ Date:___________________________
Accounting Department

( )