Application For Leave: Employee Code: Department: Employee Name: Site / Location: Designation
Application For Leave: Employee Code: Department: Employee Name: Site / Location: Designation
To be completed by applicant Employee Code: Employee Name: Designation: Department: Site / Location:
Annual *Sick
From (AM/PM)
To (AM/PM)
No. Of Day(s)
Signature / Date
* Attached Relevant Document(s) upon submission of application.
To Cover Duties (if any): Signature / Date To be completed by Administrator for Crediting of Leave
Annual Casual Leave *Sick *Hospitalisation
Checked By / Date