LEAVE APPLICATION FORM

NAME : ______________________________________

DEPARTMENT : ______________________________________

DATE : ______________________________________

I wish to apply leave(s) as follow :- (Please tick )

 Annual / Pro-Rata / Advance Leave  Unpaid Leave

 Medical Leave  Compassionate Leave

 Maternity Leave  Paternity Leave

 Childcare Leave  Marriage Leave

 National Service Leave

 Others, Please Specify:

_____________________________________________________________________

______________________________________________________________________________________
______
NOTE : [To be eligible for the Leave stated above, except for National Service (mandatory) and Maternity
Leave (applicable only after six (6) months of service), employees must have completed minimum three (3)
months of service]

From: __________________ To: ___________________ Applicant:

_________________
(Am / pm) (Am / pm) (Sign)

To Be Filled By Human Resource Department: Leave : ______ Days

This Application: ______ Days
Balance : ______ Days

Department
ADMIN CM PM PD
Approval

HR
Executive GM Director
Approval
 LEAVE APPLICATION FORM

NAME : ______________________________________

DEPARTMENT : ______________________________________

DATE : ______________________________________

I wish to apply leave(s) as follow :- (Please tick )

 Annual / Pro-Rata / Advance Leave  Unpaid Leave

 Medical Leave  Compassionate Leave

 Maternity Leave  Paternity Leave

 Childcare Leave  Marriage Leave

 National Service Leave

 Others, Please Specify:

_____________________________________________________________________

______________________________________________________________________________________
______
NOTE : [To be eligible for the Leave stated above, except for National Service (mandatory) and Maternity
Leave (applicable only after six (6) months of service), employees must have completed minimum three (3)
months of service]

From: __________________ To: ___________________ Applicant:

_________________
(Am / pm) (Am / pm) (Sign)

To Be Filled By Human Resource Department: Leave : ______ Days

This Application: ______ Days
Balance : ______ Days

Department
ADMIN CM PM PD
Approval

HR
Executive GM Director
Approval