HISWARA BUNJAMIN

TANDJUNG

&

L E AV E O F A B S E N C E
2011

Please complete the form, sign at space provided and obtained approval by Partners before submitting to the Office
Manager

NAME

: Rangga Dahana

POSITION

: Junior Associate

DATE OF APPLICATION: 4 August 2011

Type of Leave applied for:

Annual

(please tick in appropriate box)

Sick
Exam/Study
Other (please specify)

NO. OF DAYS APPLYING FOR: 6 days

From (date):

8 August 2011

To (date):

15 August 2011

Resume duty on (date): 16 August 2011

SIGNATURE OF APPLICANT:

Date: 4 August 2011

APPROVED BY (Signature):

Date:

Entitlement check and fill in by:

No of day(s) remaining this calendar year:
No of day(s) applying for this form:
No of day(s) remaining this calendar year after this leave:

EK