LEAVE APPLICATION FORM
1. DETAILS OF APPLICANT
Name of Staff: ___________________________________________ Date: ______________________
Designation: __________________________
Type of Leave Please tick below
Annual Leave
Sick Leave
Compassionate Leave
Marriage Leave
Study Leave
Other, please specify
2. PERIOD OF LEAVE APPLICATION
Start Date End Date No. of Days No of Days Sick-leave Applicant’s
taken to Date taken this year contact(s) on leave
1.
2.
3. VERIFICATION AND APPROVAL
(Please sign accordingly)
a) Submitted By: __________________________ ___________________
Applicant’s signature Date
b) Checked By: __________________________ ___________________
Dept. Manager/M.I.S Manager/HR’s Signature Date
c) Approved By: __________________________ ___________________
Director’s signature Date
4. FOR OFFICE USE ONLY
Number of annual leave day(s) brought forward from previous year
Number of annual leave day(s) entitled this year
Number of annual leave day(s) taken this year
Accumulated annual leave days taken
Balance as of today