Bio Molecular Industries Sdn. Bhd.

(691229-K)
APPLICATION FOR LEAVE
(Permohonan Cuti)

Name of Employee
(Nama)

Card
(No. kad kerja)

Position
(Jawatan)

Department
(Bahagian)

TYPE OF LEAVE (Jenis Cuti) Annual Leave

(Cuti Tahunan)

Unpaid Leave
(Cuti Tanpa Gaji)

Compassionate Leave

Others
(Lain-lain)

Specify :
(Nyatakan)

From
(Dari)

To
(Hingga)

For
(Selama)

DAY(S) (hari)

Reason Personal (not feeling well)

(Sebab)

Applicant's Signature
(Tandatangan Pemohon)

Supervisor's Signature
(Tandatangan Penyelia)

Date
(Tarikh)

Supervisors's Name
(Nama Penyelia)

APPROVAL BY HEAD OF DEPARTMENT/GM/ED

Leave (Cuti) Approved Not Approved (Diluluskan) (Tidak diluluskan)

ANNUAL LEAVE RECORD

(To be filled before leave can be approved)

Balance b/f Entitlement Total

0.0 10.0 10.0 0.0 0.0 10.0

Date

Head of Department's Signature

No. of Days Taken

Less This Application

Head of Department's Name

Balance available

Acknowledgement by HR Department Date

General Manager/Executive Director's Signature

Date Received Recorded by

Tear Here - This portion must be returned to the applicant by Human Resources Department To : Name of Applicant/Nama Pemohon of Department/Bahagian

Please be informed that your leave application for __________ days from __________ to ____________ have been approved/dissaproved (delete where applicable). Note: All leave application must be submitted 48 hours prior to date of leave. All leave not approved shall be considered as unpaid leave. The employer has the discretion to deny the leave application. Sila maklum bahawa cuti anda selama __________ hari dari ____________ hingga __________ telah diluluskan/tidak diluluskan (potong yang mana tidak berkenaan). Nota: Semua permohonan mesti dibuat 48 jam sebelum tarikh cuti. Cuti yang tidak diluluskan akan dianggap sebagai cuti tanpa gaji. Pihak majikan berhak menolak permohonan cuti.