No.

0004

LEAVE APPLICATION FORM

HOTEL
Sudirman
Makassar

Name Windy Christin H Paliling Date Request

Payroll # 31/01/2020

Position AP/GC
Department ACCOUNTING

Date Hire

Address While On Leave Perintis Kemerdekaan 4 Kowilham 3 blok A 1 no 15

Requested Approved By
Application for
By Employee HOD

FROM TO Length

Annual Leave 13 February 2020 17 February 2020 3 Days

PH/DP/EO Days

Maternity Days

Other (Specify)-Day Off Days

Unpaid Leave Days

Date of Back to work 18 February 2020 Windy Paliling

This part is for Human Resources to complete

Leave entitlement for the year: Days HR

# Leave days already taken Days

# Days of this application Days

Balance still due Days

Remark (if any):

HR/Leave Apllication Form/019 Page 1

 No. 0004

LEAVE APPLICATION FORM

HOTEL
Sudirman
Makassar

Name M. JUNAID K Date Request

Payroll # 2/20/2018

Position AR / IA

Department FINANCE ACCOUNTING

Date Hire 01 MARET 2017

Address While On Leave PULANG KAMPUNG

Requested Approved By
Application for
By Employee HOD

FROM TO Length

Annual Leave 2/21/2018 2/25/2018 3 Days

PH/DP/EO Days

Maternity Days

Other (Specify)-Day Off Days

Unpaid Leave Days

Date of Back to work 2/26/2018

This part is for Human Resources to complete

Leave entitlement for the year: Days HR

# Leave days already taken Days

# Days of this application Days

Balance still due Days

Remark (if any):

HR/Leave Apllication Form/017 Page 1