Leave Request Form

Request for Leave

Request your leave details down below.
Name*
Full Name
Employee ID *
ID Number
Position*
Job Title
Email*
example@example.com
Phone Number*
Contact Number
Department*
Work Area
Department*
Work Area
Department*
Work Area
Manager Email*
example@example.com
Date of Application

DayMonthYear
Date
Hour MinutesAM/PM Option
Details of Leave
Leave Type*

Annual LeaveUnpaid LeaveMedical LeaveMaternity LeavePaternity LeaveHospitalization leaveOther
Leave Start*

DayMonthYear
Date
Leave End*

DayMonthYear
Date
Total Day of Leave *
Please enter the total number of days you plan to take as leave.
Total Day of Leave
Preferred Time
Please select your preferred time of day.
Total Day of Leave
Leave Reason*
Reason for Leave
Attachment

Additional Information
Cancelof
Should be Empty:

Request for Leave