Mutual+

People & Organization Development

APPLICATION FOR ANNUAL LEAVE

(FORMULIR PENGAJUAN CUTI TAHUNAN)

This form must be filled and submitted to the Human Resources

at least 7 days before the started date of the annual leave
(Formulir ini harap diisi dengan lengkap untuk diserahkan
ke bagian Human Resources paling lambat 7 hari sebelumnya)

Name (Nama) Personnel No.:

Dept (Departemen)

Position (Jabatan)

Leave Type (Jenis Cuti) | Sickness | Maternity | Religious | Vacation | ………………

Duration (lama) Day (hari)

Effective as of (Mulai) : Until (sampai):

Contact Address (alamat
yg bisa dihubungi)

Phone Number (No. Telpon)

For "excused leave", please

indicate the purpose of leave
(untuk cuti keperluan lain,
sebutkan alasan cuti)

Jakarta, ……………….

Employee's Signature Assigned by……….. Approved by MUTUAL+

………………………………….. ………………………………… …………………………………

Dep. Head / Div. Head / Spv

FOR HRD USE (Disi Oleh HRD)

Leave earn up to month :

Jumlah hak cuti sampai bulan
Leave days requested :
Jumlah hari yang diminta
Leave balance :
Sisa hak cuti ………………………………….
HR Dept Head