Company:
:
(please mark
Section A: Employee's Details
Employee Name :Designation
:
Department
:
Type of leave apply for :
(please mark X )
Period of leave from to
(no of days :
)
included
day(s) restday
day(s) public holiday.
Date returning to work :Reason(s) for leave
:
Other Information
Can you be contacted if any emergency matter occurred during your period of leave?If yes, please states your contact no:
Employee's singnature:
Date:
Leave Application Status (please mark X ) :Reason for Disapproved:
Name & Signature :Date:
Balance of leave b/f from (previous year)
day(s)Current year leave earned up to /
day(s)Total Leave Entitlement day(s)Less: Leave taken todate
day(s)Leave approved in this application
day(s)Leave Balance Todate
day(s)