VACATION FORM

(Urlaubsantrag)

Institute:	SpezialForschungsBereich F013

Pers.Nr.:

Title:	Name:

Phone Nr.:

Type of vacation:	□ holiday (Erholungsurlaub)
Number of hours: ________	□ nursing exemption (Pflegeurlaub) □ special leave (Sonderurlaub)
Available hours of vacation:	
Date of beginning (first day):	
Date of ending (last day):	
Remaining hours of vacation:	

Employee:

(Date)	(Signature)

Permission of the Speaker:

(Date)	(Signature)

2007-01-24T09:24:02