Serial No Date of Request* DD dash MM dash YYYY Full Name* Employee ID* Designation* Leave InformationPurpose Of Leave*SelectAnnual LeaveLeave Of Absence W/O PayMedical LeaveEmergency LeaveTraining LeaveBusiness LeaveCompassionate LeaveTotal No Of Days*Leave Start Date* DD dash MM dash YYYY Leave End Date* DD dash MM dash YYYY Contact During LeaveAddress* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Ticketing InformationTicket Required*SelectYESNOOnward Date DD dash MM dash YYYY Return Date DD dash MM dash YYYY Onward Journey From To Return Journey From To The Employee irrevocably and unequivocally acknowledges that his late return to work will result a colossal disruption and turbulence to the operations of the employer. The Employee irrevocably and unequivocally acknowledges that his late return to work will result a colossal material and reputational losses to the employer. The Employee irrevocably and unequivocally acknowledges that his late return to work shall be considered as a deliberate abstention to perform his main duties contrary to his employment contract The Employee irrevocable and unequivocally acknowledges that in the event of his late return to work due to illness or other health reasons, the employee shall provide official document evidence attested by UAE Embassy / Consulate Générale in the state of which the employee proclaimed illness or other health reasons, otherwise, his late return to work shall be considered as a deliberate abstention to perform his main duties contrary to his employment contract. The Employee irrevocably and unequivocally acknowledges that during this leave, the employee is not entitled to request for any additional / exceptional/ extraordinary unpaid leave. The Employee irrevocably and unequivocally acknowledges that the employer is entitled to charge a daily penalty of 2 days salary deduction of total salary for every day of delay of return to work. All other conditions and events are subject to the rules of Decree Law (33/2021) concerning regulating work relations. Employee Signature: Date: For Administration Use Only Leave History Leaves Date From Date Thru Annual Leave Leave W/O Pay Medical Leave Last Last(-1) Last(-2) Leave & Ticket Entitlement Annual leave entitlement(Days): Availed Till Date: Balance Available: Joining Date: Ticket entitlement(Nos): Availed Till Date: Balance Available: Note: Remarks*ApprovalsReporting Manager / HOD* HR Manager* CEO & MD* Δ
