P.O.

Box: 47754
Abu Dhabi, U.A.E.
Telephone:
8005
Facsimile:
8009
www.intertek.com

+971 2 642
+971 2 642

LEAVE APPLICATION FORM

Date

: 15th May, 2016

Employee Name

: Bijukumar vijayan

Designation

: vendor inspector

Date of Joining

: 20th Dec, 2015

Leave Applied for:

Type
Annual Leave

Start date

End date

No. of day (s)

01st Aug 2016

18th Aug 2016

18 days

End Date*

No. of days

Sick Leave
Other R&R

Last Leave Taken:

Type
Annual Leave

Start Date*

Sick Leave

N/A

Other (Specify)

N/A

N/A

*Start Date should be the first day of absence from the Office
*End Date should be the last day of leave
Contact Address: Thirppalathara house po nettissery
Trichur , kerala,india -680657

_________________
Employee Signature

______________________
Direct Supervisor

Intertek Department of Economic Development Commercial Registration No. 1001739.

Abu Dhabi Chamber of Commerce Membership No. 14147.

Tel. No. during leave:

00918652712267