Cebu EASY General Services Corp.

Tel. No. 422-6187; 344-8969 Fax No. 422-6492

LEAVE / UN DERTIME F ORM

Date: _________________
NAME: ____________________________________ CLIENT assigned:
______________________ POSITION: ________________________________
ACCOUNT/AREA:______________________
Contact No.: __________________________________ TIME sched:_______________ DO:
________

TYPE of LEAVE : Please indicate check mark below.

Vacation Sick Emergency Others, pls. specify: _______________

No. of
Date Covered days/hrs. REASON

Approved With PAY Approved Without PAY

As a condition of approval, I hereby acknowledge that it is my duty and obligation to report for work after my leave.
Otherwise, I shall be considered on AWOL and shall be subjected to disciplinary action.

____________________________
 Employees Signature
_________________________ __________________________
Immediate Supervisor HRD Reliever:
____________________