VACATION REQUEST
BUSINESS UNIT
NCS NOC NINTL Canrig Canada NDIL
NDTUSA NDS NDL Canrig Int’l Other:
NCM NAD Canrig USA NII
EMPLOYEE NAME
Last First Middle
Duarte Marceles Luis Carlos
EMPLOYEE ID TOTAL VACATION DAYS REQUESTING
100212260 15
VACATION START DATE VACATION END DATE
19 De Febrero De 2019 7 De Marzo De 2019
EMPLOYEE’S SIGNATURE DATE
APPROVAL DATE
Vacation Request Immediate Supervisor
Approved Name: Signature:
Denied Additional Approval
Name: Signature:
INTERNATIONAL USE ONLY
Home Leave Allowance Required Yes No
Dependents Yes No
Number of Dependents:
REASONS OR COMMENTS IF REQUEST IS DENIED
SECTION BELOW TO BE FILLED BY HUMAN RESOURCES
Annual Vacation Entitlement:
Previous Vacation Taken:
Vacation Requested Above:
Balance of Vacation Entitlement:
Page 1 of 2 HUR-F0032 (0)
XXX-YYY-POL-000
MONTH/YEAR
REVISION 0
PAGE 2 of 2
*Please return this form to Company’s Human Resources representative.
QMS-F0006 (0)