LEAVE APPLICATION

SECTION 1 (General Information)

Employee Name: Employee ID Number:

Position: Department/ Unit:
Duty Location: Date of Application:
Type of Leave
Annual Sick Urgent Haj Paternity Maternity Unpaid
Leave Period
From To Number of days
Other leaves

Employee Signature: __________________________

SECTION 2 (Completed by Human Resources)

Entitled leaves  Current Leave Balance Leave taken New - Balance

Annual Leave    
Sick Leave      
Urgent Leave      
Maternity Leave
Paternity Leave
Haj Leave
Unpaid Leave
Other________________

HR Representative Name: _______________ Signature: __________________ Date: _______________

SECTION 3 (Completed by Supervisor)

Approve the leave request Not approve the leave request

Reason for not approving: ____________________________________________________________________________________

Supervisor Name: ___________________ Signature: _____________________ Date: _______________

Version 2 – May 2021