‫ استئذان‬/ ‫طلب إجازة‬
Staff Leave Application Form
Designation
2020/2021
Fatma Essam
Teacher
Department
7-9 girls
Academic Year
Staff Name
‫العام الدراسي‬
‫اسم الموظف‬
‫المسمى الوظيفي‬
‫القسم‬
‫اختيار نوع الطلب‬
Type ( tick one)
 Short Leave
 Full Day Leave
 Half day
Day
 More than one day (…….) Days
Date
Reason ( tick one)
 Personal Leave
 Illness
 Professional Leave
Remarks (if any)
✔
‫ يوم كامل‬
‫ إذن قصير‬
)........( ‫ عدد األيام‬،‫ أكثر من يوم‬
‫ نصف يوم‬
Time / Date (if more than one day)
From 7/2/2021
To 10/2/2021
‫السبب‬
 Immigration issues
 Ministry of Health
 Family Illness
 Traffic Department
 Other: __________________________________
)‫مالحظات (إن وجدت‬
Working from home , Ms son having a severe infection .
NO.
1.
2.
3.
4.
5.
Note:
GRADE – SECTION
PERIOD NO.
MATERIAL PROVIDED
:‫مالحظات‬
1.
The staff member needs to apply and get the approval of
school administration well in advance.
2. In case the employee completed 6 hours with previous
permission, it will be considered a deduction of I days salary
3. Notice of Absenteeism must be given to Administration
within two days of returning to work
4. Administration will NOT accept this form if the signatures of
ES & AS are NOT completed (applicable to teachers,
assistants, …etc.)
Date of Application
Staff Signature
.‫ على الموظف تقديم االستئذان كتابياً والحصول على موافقة اإلدارة عليه بشكل مسبق‬.1
‫ في حال استكمل الموظف ست ساعات خارج المدرسة (بإذن مسبق) يتم حسم يوم‬.2
.‫عمل‬
.‫ يتعين على الموظف تقديم عذر الغياب إلى اإلدارة خالل يومين عمل من تاريخ تغيبه‬.3
، ‫ لن تقبل اإلدارة استالم الطلب ما لم تكن تواقيع المشرفين مستكملة قبل التسليم‬.4
)‫الخ‬... ، ‫ مساعدي اإلشراف‬/ ‫(خاص بالمعلمين‬
Educational Supervisor
Signature
Administrative
Supervisor Signature
04/02/2021 Fatma
Date of application received
Administration
For Official use only
Status  Approved
 Disapproved
Date
AIS/4/14AE