Leave Application Form

                                     COMPANY'S NAME

                Leave Application Form

Name

:

Employee No :

I/C No

:

Department   :

(        )  Annual Leave                                                            (        )  Medical Leave

(        )  Unpaid Leave                                                            (         )  Maternity Leave

(        )  Others   : ______________________

The above leave(s) will be from ______________ to _____________ (          day(s))

with the reason of __________________ and will be back to work on ___________

Applicant's Signature

_________________

Name : Date :

_______________________________________________________________________

We hereby (        ) Approve / (        )  Not Approve your leave application. Please report work on

__________________. Thank you.

Approved By,

______________

Position :

Date     :