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Leave Application Form

Written application should be made at least two (2) day before commencement of leave
and should be approved by the applicants Supervisor / Division Head. In the absence of
the Supervisor / Division Head, approval can be obtained from the General Manager of the
Company and thereafter be submitted to the Human Resource department for notification
and record purposes.
Cancellation of leave, if any must be done via email or written notification to the Human
Resource Department

Name
: ___________________________
________________________________

Date

Position : ___________________________
________________________________

Department

PAID LEAVE

UNPAID LEAVE

PLEASE CHECK TYPE OF LEAVE:


Emergency

Maternity / Paternity

Medical / Sick

Compassionate / Marriage

Others:
_____________________

Number of days: _____________________________________________


From: ______________________________ To: _______________________________

Remarks:
_______________________________________________________________________________
_
_______________________________________________________________________________
_______________________________________________________________________________
____________________
_______________________________________________________________________________
__________
In case of EMERGENCY, I can be contacted at the following:
Address:
Tel Nos.:

Applied By:

______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Approved By:

Acknowledged By:

Noted By:

Division Head

Human Resource

Chief Executive
Officer

Date:

Date:

Date:

Date: