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Employee Name Mohamad Fazali Hj Ramly ID No 820903-06-5491 Date 20/02/2013 Department SERVICE
I am submitting a request to take leave for the following period: From 04/03/2013 To 06/03/2013
Please charge my leave to: Categories of Leave Vacation / annual leave Sick Leave Non-Paid Leave Time off / Compensate Leave Maternity Leave
No of days applied 3
Balance Leave
Employees Signature
Instructions: This form is to be filled out by the employee for all time periods in which he/she will be absent from work. The employee and the Manager must sign this form and then submit to HR and payroll for processing. Requests for vacation must be submitted a minimum of three days before commencement of leave.
APPROVED
NOT APPROVED
HR
18-32-A1 & A2 Gurney Tower, Persiaran Gurney Georgetown 10250 Penang Tel: (604) 370 1229 Fax: (604) 370 1209
Payroll