I want to use my annual leave for the year …… as ……. Days between the dates ………………….. and ……………… I also request …………… days of unpaid leave to cover the time spent on the road.I am kindly submitting for your information.

                                                                       Employee/Name Surname/Date/Signature

Appropriate/It is appropriate to use on the date ……………………….

Employer Representative/Date/Signature