| Employee surname Employee start date | Employee name | Registry No. | ||||||||||||
| Working period for one year, the number of days not worked in it and the reasons | ||||||||||||||
| Year | The date on which the leave entitlement was earned one year ago | Sick | Military | State of necessity | Absenteeism | Interruption of service | Other causes | Date of entitlement to leave | Seniority in workplace | Leave Period | Road leave | Leave Start Date | Return Date | Signature of Employee |
