REQUEST FOR LEAVE

Name : Setya Budiman Sebayang Employee No. :

Position : SPV admin Requested on : 21-May-21
Dept./Div : IT Date of hire :

Leave to be taken from 21 Mei 2021 ( 1 Days )

Reason for leave : Cuti Tahunan

Emergency Contact

Name
Address
Phone

FOR PERSONNEL DEPARTMENT USE

Days Remarks
Leave entitlement
Less leave taken/Advance
Balance

Requested by : Approved/Disapproved by : Recorded by :

Setya Budiman Sebayang Rico Parapat

Applicant Department Head HRD
Date : 31-May-21 31-May-21

Page 1 of 1 200-F-003 Rev. 0 Form For Request For Leave