Leave Record
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2006 Leave Year Record For HR
Name: Dept: Commencement Date January February March April May June June July August September October November December Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used
Sick Leave Annual leave Compensation Leave Other
For Employee Requested Date
Requested Leave
Reason
Taken Date (When) Day (s)
Employee's
Signature Intermediate Sup. MD / GM / Director
Requested Date Requested Leave
Reason
Taken Date (When) Day (s)
Employee's
SIGNATURE Intermediate Sup.
MD / GM / Director
Name: Dept: Commencement Date January February March April May June June July August September October November December Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used Earned Used
Sick Leave Annual leave Compensation Leave Other
For Employee Requested Date
Requested Leave
Reason
Taken Date (When) Day (s)
Employee's
Signature Intermediate Sup. MD / GM / Director
Requested Date Requested Leave
Reason
Taken Date (When) Day (s)
Employee's
SIGNATURE Intermediate Sup.
MD / GM / Director
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