Leave Form
Leave Form
GEXBA-HR-RWH-001-06
Date Filed: 4/07/22 Date Hired: 11/19/19 Reminders when filling up this form:
Company: Bounty Fresh Foods Inc. Any absences from work must be covered by an approved application for
leave of absence. Otherwise leave not filed will be considered AWOL.
Department: Construction & Engineering
VL - must be filed 2 days before intended leave for 1 day VL only and at
least 1 week for 2 or more VL days.
Name: Neil Alexandrew M. Mag-aso SL - a medical certificate is required for sick leave beyond three (3) days.
EL - for emergency cases contact your immediate superior on the day you
Job Title: Project Engineer are absent.
ML - copy of marriage certificate and maternity notification must be on file
Address and contact number while on leave:0134 Bagong within 60 days in Human Resources and Payroll Department.
Lipunan St. Pob 3 Tagbilaran City (09178214215) PL – copy of marriage certificate and certification of spouse’s obstetrician
on expected delivery date must be filed in Human Resources and Payroll
Put your intended leave with a [√] mark on the space provided. Department.
[ ] Vacation [ ] Sick [ ] Maternity Leave w/out pay (Absence) – for employees without leave balance.
[ ] Accident [√ ] Emergency [ ] Paternity TYPE CURRENT APPLIED REMAINING
[ ] Others [ ] Leave w/out pay (Absence) LEAVE LEAVE LEAVE
Reason: Family Emergency BALANCE BALANCE BALANCE
VACATION 10 1 9
Period covered: LEAVE
SICK LEAVE 5 5 0
From: 5/2/22 To: 5/7/22
Physician note/signature (for Sick Leave) Employee designated to take over Name / Signature:
your task/responsibilities while on
leave
Requested by (Signature): Noted by Dept. Head/Superior: Approved by:
AFL
no. Numbered as used
for reference
Authorized for local reproduction / can be downloaded and completed thru the computer . [copies to: HR Dept. Concerned Employee File (photocopy)]
Period covered:
Physician note/signature (for Sick Leave) Employee designated to take Name / Signature:
over your task/responsibilities
while on leave
Requested by (Signature): Noted by Dept. Head/Superior: Approved by: AFL no.
Numbered as used
for reference
Authorized for local reproduction / can be downloaded and completed thru the computer . [copies to: HR Dept. Concerned Employee File (photocopy)]