You are on page 1of 4

QF/HR/006/02/02

LEAVE APPLICATION FORM


COMPANY

DPI KONSULT SDN BHD

NAME

ABDUL RAHMAN BIN HILMI

This Application

:
:
:
:
:

Balance Available (Earned)

: _________

Total Entitlement
Balance Brought Forward
Entitlement Earned (Month)

DESIGNATION

DESIGN ENGINEER

DEPARTMENT

H&B

Leave Taken To Date

_________
_________
_________
_________
_________

(+)
(+)
(-)
(-)

I wish to apply for the following leave:


Annual Leave

Maternity Leave

Compassionate Leave

Unpaid Leave

Paternity Leave

Others

EL

Note :
* Application form must be submitted to Human Resources Department at least three (3) days before staff goes for leave and staff who
has take Medical Leave / Emergency Leave must submit not less than two (2) days after resume for duty.
* Unpaid Leave to be approved by Executive Chairman / Managing Director.

On / From

To

No. of
Days

Reasons : (Please provide supporting document)

Applicant Signature

Date

RECOMMENDED / NOT RECOMMENDED

APPROVED / NOT APPROVED

Remarks :

Remarks :

Immediate
Superior

#
To

Date

Head of Department /
Chief Executive Officer

Date

To be returned to Applicant

: _____________________________

Date

: _____________________________

Your Application for Leave on / from _______________ to ________________ has been Approved / Rejected.

Balance of leave after this application.

HUMAN RESOURCES DEPARTMENT

Revision : 01

Page 1 of 1

QF/HR/006/02/02

PPLICATION FORM

Page 1 of 1