For educational services and community empowerment
Leave Request Form Employee Name: _______________________________________Date: ____/____/_________ Role: _________________________________ Employment ID Number: __________________ Supervisor / Director: _____________________ Department/Branch: ____________________
Reason For Leave
Embassy / UNHCR Annual Leave Marriage Sick – Self Sick – Family Sick-Dr. Appointment Leave Of Absence Funeral – Relationship ____________________________ Other: ___________________________________________________________________
Leave Requested From: ______/______/________________ To: ______/_______/_______________ Total of Days Requested: _________________________________________________________ Employee Signature: ________________________ Date: _____/____/____________ Administration Use Only
