EMPLOYEE ATTENDANCE RECORD



Department of Obstetrics & GynaecologyResident Absence Request FormVacation/ Lieu/ Professional DaysResident Name: Click here to enter text. Current Block: Click here to enter text.Block during leave: Click here to enter text.Type of Absence Requested:? Vacation? Lieu? Professional/ Academic ? Other: Click here to enter text.Dates of Absence: From: Click here to enter a date. To: Click here to enter a date. Total Working Days Absent: Click here to enter text. Education/ Conference Title: Click here to enter text.Signature: Employee to complete Admin TrackingAvailableBalances___________________Days Requested2952751084580Click here to enter text.00Click here to enter text.295275275590Click here to enter text.00Click here to enter text.Vacation Days:Lieu Days:278130924560Click here to enter text.00Click here to enter text.278130114935Click here to enter text.00Click here to enter text.Professional:252095924560Click here to enter text.00Click here to enter text.252095114935Click here to enter text.00Click here to enter text.Calendar ? One45 ?Scanned ? APPROVALS Block Mentor/ Supervisor Signature _______________________ Date:__________________Chief Resident Signature________________________________ Date:__________________PGEC Signature____________________________________ Date:__________________ ................
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