USE ELECTRONICS (M) SDN. BHD.

(314642-W)

LEAVE APPLICATION FORM

Name :

Division :

Type of Leave Applied for (please tick) :

Annual Leave Medical Leave Hospitalization Leave

Reason :

Maternity Leave Compassionate Leave Marriage Leave

Paternity Leave Others (Reason)

From To Total No. of Days

Approved / Not Approved / Not

Verified by
Approved Approved

Department Head Authorised Signatory

Employees' Signature and Date HR Endorsement
Signature and Date and Date

Last year CF Leave + Present Leave Entitlement = working days

No. of Leave Utilized working days (including current application)

Current Leave Balance working days (until end Year)

Note:
1 Staff must submit their Leave Application Form Seven (7) days in advance
for approval before leave commences
2 Others than annual leave,please attach relevant supporting documents for reference
3 Each staff are granted to carry forward last year balance of annual leave maximum up to 5 Days
until month of JUNE on present year.