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Staff Leave Application Form

The document is a staff leave application form with sections for the applicant to select the type of leave requested, provide their current leave balance and leave taken. There is also a section for human resources to reply with whether the leave is approved or not approved, the type and period of leave, and the applicant's remaining leave balance. The form is used to apply for various types of paid and unpaid leave including annual leave, sick leave, maternity leave, and compassionate leave.

Uploaded by

Amu Krishnan
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2K views1 page

Staff Leave Application Form

The document is a staff leave application form with sections for the applicant to select the type of leave requested, provide their current leave balance and leave taken. There is also a section for human resources to reply with whether the leave is approved or not approved, the type and period of leave, and the applicant's remaining leave balance. The form is used to apply for various types of paid and unpaid leave including annual leave, sick leave, maternity leave, and compassionate leave.

Uploaded by

Amu Krishnan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STAFF NAME: DEPT: DATE :

SECTION A : TYPE OF LEAVE (tick where applicable)


Medical / Sick Leave Compassionate Leave Replacement Leave Exam Leave
Annual Leave Emergency Leave Birthday Leave Others (pls state):
Maternity Leave Paternity Leave Unpaid Leave
SECTION B : LEAVE EARNED / BALANCE REMAINING
No. of days
To requested
SECTION C : LEAVE APPLICATION REPLY SLIP (HR Dept use only)
To Staff :
This is to inform you that your application for the following leave has been:-
Approved Not approved
Leave Type :
Period : From ______________ to _________________ (No. of days: _______ )
Balance
remaining:
STAFF LEAVE APPLICATION FORM
Annual Leave / Medical Leave / Maternity Leave / Compassionate Leave / Birthday Leave / Replacement Leave /
Emergency Leave / Exam Leave / Unpaid Leave / Others : _______________________________________________
Leave c/f
from previous year
(if any, as approved)
Balance remaining
(days)
Approved by:
Name:
Current Year
Entitlement (days)
Leave taken to
date (days)
Date(s) of leave
From
STAFF NAME: DEPT: DATE :
SECTION A : TYPE OF LEAVE (tick where applicable)
Medical / Sick Leave Compassionate Leave Replacement Leave Exam Leave
Annual Leave Emergency Leave Birthday Leave Others (pls state):
Maternity Leave Paternity Leave Unpaid Leave
SECTION B : LEAVE EARNED / BALANCE REMAINING
No. of days
To requested
SECTION C : LEAVE APPLICATION REPLY SLIP (HR Dept use only)
To Staff :
This is to inform you that your application for the following leave has been:-
Approved Not approved
Leave Type :
Period : From ______________ to _________________ (No. of days: _______ )
Balance
remaining:
Name:
Annual Leave / Medical Leave / Maternity Leave / Compassionate Leave / Birthday Leave / Replacement Leave /
Emergency Leave / Exam Leave / Unpaid Leave / Others : _______________________________________________
Approved by:
STAFF LEAVE APPLICATION FORM
Leave c/f
from previous year
(if any, as approved)
Current Year
Entitlement (days)
Leave taken to
date (days)
Date(s) of leave
Balance remaining
(days) From

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