Name employee number post job department
- leave (or something false ) - public holiday
Leave category
Each disease fake the he ( please specify)
Something false.
Leave time
Since ( year, month, day, time ) to ( year, month, day, when all leave the day hour )
Doctor's certificate
Note: please leave more than a day to check a physician testifying
To prove the name Employees Union ( or will ) from year month to year month day accepted medical Liao, the period during which the member is ( or will ) not to work
Name of disease
The attending physician medical school day period signature
This column by the Department in charge of completing
- associate supervisor signature
Do not allow ( please state the reason ) job day period
Name employee number post job sector - vacation (or something false ) - public holiday leave disease categories - fake the he (please specify ) - something false self ( year, month, day, time ) to ( year, month, day, hour attention when total leave days ): please leave more than a day to check a physician testifying to prove the above name Employees Union ( or will ) from year month to year month day accepted medical Liao, the period during which the member is ( or will ) cannot work disease attending physicians medical school day period this column signed by the competent department shall fill - supervisor do not associate ( please state the reasons job day period )
Leave alone
Surname name Department door post
Leave type leave sick leave - - - - - attend marriage maternity nursing home fake fake
Things by
Year Month Day Date Year Month Day at time, total day.
Manager: Supervisor: human resources department:
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