PT KEPLAND INVESTAMA

PERMOHONAN IJIN CUTI

Nama Dept No. Karyawan

Jabatan Tgl Masuk Tgl Permohonan

Periode Cuti s/d Total hari

Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

A (Cuti Tahunan) PH (Hari Raya) S (Cuti Sakit)

U (Cuti Diluar Tanggungan) M (Cuti Nikah) M1 (Cuti Melahirkan)

O (Cuti Lain-lain Potong / Tidak Potong Gaji) Penjelasan :

Catatan :

Di isi oleh Departemen SDM

Jenis Cuti Hak Cuti Telah Diambil Yang Diminta Sisa Hak Cuti Masa Berlaku

Cuti Tahunan (A)

Cuti Sakit (S)

Hari Raya (PH)

Lain-lain (U/M/M1/O)

Karyawan Atasan Manager SDM Presiden Direktur / Direktur

Tanggal : Tanggal : Tanggal : Tanggal :

Formulir cuti ini harus sudah diterima Departemen SDM 1 (satu) minggu sebelum cuti

Asli : SDM Copy 1 : Accounts Dept Copy 2 : Atasan Copy 3 : Karyawan

PT. KEPPEL LAND
PT KEPLAND INVESTAMA
EMPLOYEE LEAVE REQUEST FORM
Serial No. : HR-KL/KI-001-13

Name Dept

Position Submitted Date

Period of Leave : To Total No. of Days :

Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

A (Annual Leave) PH (Public Holiday) S (Sick Leave With / Without Pay)

U (Unpaid Leave) M (Marriage Leave) O (Others With / Without Pay)

DO (Rostered Day Off) M1 (Maternity Leave) Specify :

Remarks :

For Human Resources Department Use Only Filled by HR Department

Leave Type Entitlement Previously Taken This Request Outstanding Leave Until (Date)

Paid Annual Leave

Sick Leave

Public Holidays

Other Days Owed

Others

Employee Head of Department HR Manager President Director

Name : Name : Name : Name :

Date : Date : Date : Date :

This approved form must be received to HR Dept 1 (one) week or at least 3 (three) days before leave. Otherwise will booked as Unpaid
Leave.
PT KEPLAND INVESTAMA

EMPLOYEE LEAVE REQUEST FORM

Serial No. : HR-HGN-001-14

Name Tania M N T Dept Project Management

Position Deputy Head Submitted Date

Period of Leave : To Total No. of Days :

Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

A (Annual Leave) PH (Public Holiday) S (Sick Leave With / Without Pay)

U (Unpaid Leave) M (Marriage Leave) O (Others With / Without Pay)

DO (Rostered Day Off) M1 (Maternity Leave) Specify :

Remarks : hand therapy

For Human Resources Department Use Only Filled by HR Department

Leave Type Entitlement Previously Taken This Request Outstanding Leave Until (Date)

Paid Annual Leave

Sick Leave

Public Holidays

Other Days Owed

Others

Employee Head of Department HR Manager President Director

Name : Tania Name : Name : Name :

Date : Date : Date : Date :

This approved form must be received to HR Dept 1 (one) week or at least 3 (three) days before leave.