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Leave Application
Ref.        
Date        
Revision 0.1
Page 1 of 1
Employee Name       Joining Date       
Employee ID       ID / Iqama No.       
Department       Position       
Leave Duration        DaysFrom       To       
Back To Work        
Last Work Date        

Leave Type :

Reason for Leave        
Need Re-Entry Visa*
Further Requests        

Replacement employee during the vacation

NameDesignationContact Signature
                             

What are your contacts when you are away? Communication methods during the leave

MobileTel
              
              
Address During the Leave        
Manager Comments        
Manager NameApprovalSignature
                         
Date 2025-12-31Name & Sign