LEAVE APPLICATION FORM

01 - HR/LAF/Rev.01 (2018)

EMPLOYEE DETAILS
Employee Name : Mohd Azra bin Mohamad Company : Irsb
Designation :
Machinery
Department : Machinery
DATES
TYPE OF LEAVE NO. OF WORKING DAYS
FROM TO
0 Annual Leave
18/07/2023 19/07/2023 2 Days
0 Medical Leave

0 Emergency Leave
- With Supporting Document
0 Emergency Leave
- Without Supporting Document

0 Unpaid Leave

0 Other ……………………………………………

EMPLOYEE'S SIGNATURE REASON (If applicable) :

Appoinment Doktor
Date : 04/07/2023

DUTIES TO BE ASSIGNED TO THE FOLLOWING PERSON (COMPULSORY TO FILL IN) :

NO. NAME DESIGNATION ACKNOWLEDGED BY

APPROVED BY : RECORDED BY :
SUPERIOR / SUPERVISOR, HEAD OF DEPARTMENT, HR DEPARTMENT,

Name : Name : Name :

Date : Date : Date :

Remarks
0 Employee shall submit Leave Application Form three (3) working days in advance
0 Employee required to monitor their leave application until it has been approved by superior, failing in which
the unapproved leave will be treated as unpaid leave