LEAVE REQUEST FORM

HR Form 8
Version 2.0 November 2006

PART I. TO BE COMPLETED BY THE EMPLOYEE

A. Employee Information:
Employee Name: Date Submitted:
Employee Number: Office: Select Office
Project / Department: Project / Line Manager:

B. Leave Details:
Duration From: To:
Total No. of Public Holidays (if
present and if leave overlaps)
Total Leave Days
*Please attached required documentation if applicable.

C. Type of Leave Requested:

Vacation Sick Leave Maternity Leave Paternity Leave

Hajj Piligrimage Emergency Leave Unpaid Leave

D. Contact When on Leave:

Name: Telephone:
Address:

Employee Signature: Date:

PART II. OTHER APPROVALS

Team Lead (Name, if applicable): Signature: Date:
Project / Line Manager (Name): Signature: Date:

PART III. TO BE COMPLETED BY HR

Leave Balance: Days (as of application date)
Balance after leave: Days
HR Manager Approval: Date:

Actioned by:
Date: