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Leave Form Template

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25 views

Leave Form Template

Uploaded by

murtadha
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR LEAVE

Name Staff No.

Department Designation

Type of Leave: Pls indicate no. of day in the box


Period Applied For (Both Dates Inclusive) :
1 Annual Leave 8 Unpaid Leave
2 Matrimonial Leave* 9 Emergency Leave* Total No Of
From To Working Days
3 Maternity Leave* 10 Compassionate Leave*
4 Paternity Leave* 11 Study Leave*
5 Medical Leave* 12 Examination Leave*
6 Hospitalisation Leave* 13 Child Care Leave*
7 National Service Leave* 14 Others*

* MUST BE SUBMITTED WITH PROOF (OFFICIAL DOCUMENTS)


Reasons For Application ***(compulsory to indicate reason for urgent leave)

Address During Leave I understand that I may be recalled from my


leave by the management to attend any
exigencies of duties.

Contact Telephone No.:


Date Signature of Applicant

(TO BE COMPLETED BY SUPERVISOR / MANAGER / PARTNER)

RELIEF DURING ABSENCE Leave Approved

Leave Not Approved

Name of Relief : Noted (for medical/urgent leave) see***

Date Signature of Relief Date Supervisor / Manager / Partner

(TO BE COMPLETED BY HR DEPARTMENT - FOR RECORDING PURPOSES)

Leave Entitlement Per Year No. of Working Balance of


Date Joined Leave Taken
From To Entitlement Days Applied Leave

Current
Leave of days to be cleared by

Accumulated

Date Recorded By Authorised Signature

* NOTE: This form must be submitted to your immediate Superior for approval at least five (5) days before commencement
of leave. Once completed, please submit to the Human Resource Department.

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