LEAVE FORM LEAVE FO

Date Filed: Date Filed:

Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :
Sick Leave Vacation Leave
Sick Leave Vacation Leave Others ___________

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

____________
Authorized Signature Date Authorized Signature

LEAVE FORM LEAVE FO

Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :

Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

 ____________
Authorized Signature Date Authorized Signature
 LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved

____________
Authorized Signature Date

LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved
 ____________
Authorized Signature Date
 ASIAN SLIPWAY CORPORATION ASIAN SLIPWAY CORP
LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :
Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

____________
Authorized Signature Date Authorized Signature

ASIAN SLIPWAY CORPORATION ASIAN SLIPWAY CORP

LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :

Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

 ____________
Authorized Signature Date Authorized Signature
 ASIAN SLIPWAY CORPORATION
LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved

____________
Authorized Signature Date

ASIAN SLIPWAY CORPORATION

LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved
 ____________
Authorized Signature Date
 LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :
Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

____________
Authorized Signature Date Authorized Signature

LEAVE FORM LEAVE FO

Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :

Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

 ____________
Authorized Signature Date Authorized Signature
 LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved

____________
Authorized Signature Date

LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved
 ____________
Authorized Signature Date
 LANDING CRAFT TRANSPORT, INC. LANDING CRAFT TR
LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :
Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

____________
Authorized Signature Date Authorized Signature

LANDING CRAFT TRANSPORT, INC. LANDING CRAFT TR

LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :

Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

 ____________
Authorized Signature Date Authorized Signature
 LANDING CRAFT TRANSPORT, INC.
LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved

____________
Authorized Signature Date

LANDING CRAFT TRANSPORT, INC.

LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved
 ____________
Authorized Signature Date
 LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :
Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

____________
Authorized Signature Date Authorized Signature

LEAVE FORM LEAVE FO

Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :

Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

 ____________
Authorized Signature Date Authorized Signature
 LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved

____________
Authorized Signature Date

LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved
 ____________
Authorized Signature Date
 LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :
Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

____________
Authorized Signature Date Authorized Signature

LEAVE FORM LEAVE FO

Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :

Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

 ____________
Authorized Signature Date Authorized Signature
 LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved

____________
Authorized Signature Date

LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved
 ____________
Authorized Signature Date
 LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :
Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

____________
Authorized Signature Date Authorized Signature

LEAVE FORM LEAVE FO

Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :

Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

 ____________
Authorized Signature Date Authorized Signature
 LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved

____________
Authorized Signature Date

LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved
 ____________
Authorized Signature Date
 Liberty Service Provider, Inc. Liberty Service P
LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :
Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

____________
Authorized Signature Date Authorized Signature

Liberty Service Provider, Inc. Liberty Service P

LEAVE FORM LEAVE FO
Date Filed: Date Filed:
Name: Name:
Position: Position:
Department: Department:

Type of Leave Requested : with pay without pay Type of Leave Requested :

Sick Leave Vacation Leave Others ___________ Sick Leave Vacation Leave

Inclusive Dates: Inclusive Dates:

From:_______________ To: _______________ From:_______________ To: __________

Reason/s: Received by: ___________ Reason/s:

Signature over printed name Signature over printed name

(To be filled out by approver) (To be filled out by approver)

Remarks: Approved Disapproved Remarks: Approved

 ____________
Authorized Signature Date Authorized Signature
 Liberty Service Provider, Inc.
LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved

____________
Authorized Signature Date

Liberty Service Provider, Inc.

LEAVE FORM

with pay without pay

Others ___________

From:_______________ To: _______________

Received by: ___________

Disapproved
 ____________
Authorized Signature Date