Leave and Absence Reporting Form for All Staff

Use this form to report all types of absence apart from sickness.Always fill in Box 1.

For Deductable Leave, use Box 2a.

For other absence, use Box 2b.

1.Employee Details

Full Name: RODULFO C. TANIEGRA Company No:MU42372 Ref. Ind: GGO 411YK Tel: 381461 ______

2a.DeductableLeave Details

Work Schedule: 5/215/13Other 28 / 28 Anniversary Date : 04 / 03 / 2014

*Leave start date (1st working day)------02/ 04/ 2014

*Leave end date ( last working day)------29/ 04 / 2014

*Report to work------30 / 04/ 2014

*For staff NOT on 5/2, give leave dates at the back of the form.

Give dates of any Training Course/Business Trip during absence:from___/__ _ to ____/ _____(inclusive)

Is a Salary advance required?....YES

Indicate if Travel choice is……..CASH

If LPO, Indicate Carrier of Travelling and Travel Agent. ETIHAD AIRWAYS

Family Accompanying.

Emergency Contact Details during leave:

Address: 143 AVENIDA ST. BAHAYANG PAGASA SUBD.IMUS CAVITE Telephone: 00465732710

2b.Other absence (not deductible from leave entitlement; refer to Standing Instructions for guidance)

Reason for absence (please tick)___ Pilgrimage Leave

___ Maternity Leave

___ Compassionate Leave

___ Other (give details) ______

First day of absence ____/____/____ Report to work date ____/____/____

NB.Before leaving Oman, Expatriates should check that their Omani Visas are valid at least until their date of return from Leave/Training Course/Business Trip RODULFO C. TANIEGRA

Date : 07 /03/ 2014 Employee Signature

Line authorisation (in accordance with Manual of Authorities)

Signature: ______Ref.Ind.: ______Date: ______

  1. To be completed by the HRO/41 Staff:

Leave balance at beginning of leave (working days):______(working days)

Net days to be deducted from leave balance:______(working days)

Leave carried forward:Current Year______(working days)

(Omanis) Banked pre-1999______(working days)

Processed by: ______Date : ______

NOTES

Salary Advance:

Payable for a minimum of two weeks leave.

In order for salary advance to be made before leaving, this form must reach the appropriate Services Unit by Saturday for payment on Thursday.

Travel Passage (Non Omanis)

For cash option, apply by e-mail through the respective Services Unit, at the due time.

Form Distribution by the Services Unit:
Original - file
Copy - Line Supervisor & Employee

Staff NOT on 5/2, please indicate leave period in the chart below also indicate rest days immediately following last work period.

L= Leave (Actual Working Days)

R= Restdays

Month—APRIL 2014

1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18 / 19 / 20 / 21 / 22 / 23 / 24 / 25 / 26 / 27 / 28 / 29 / 30 / 31
L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L

Month

1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18 / 19 / 20 / 21 / 22 / 23 / 24 / 25 / 26 / 27 / 28 / 29 / 30 / 31

Month ______

1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18 / 19 / 20 / 21 / 22 / 23 / 24 / 25 / 26 / 27 / 28 / 29 / 30 / 31