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 PT.

OPAC Barata
Doc. No F.003/HRD
□ PT. Kejora Gasbumi Mandiri LEAVE APPLICATION FORM Revision 1
□ PT. Moduspek Sukses Indonesia Effective Date 27/09/2019
□ PT. Benchmark Recruitment Page 1 of 1

NAME : POSITION :

LEAVE APPLIED FROM /ON: TO ( ) DAY(S)

TO ( ) DAY(S)

TYPE OF LEAVE

ANNUAL LEAVE NATIONAL SERVICE

MARRIAGE LEAVE MATERNITY LEAVE

COMPASSIONATE LEAVE *) OTHERS *)

*) DETAILS:

APPLICANT DATE APPROVED BY

BALANCE AS AT BEGINNING OF THE YEAR :

LESS: LEAVE ALREADY TAKEN THIS YEAR :

LESS: LEAVE APPLIED FOR AS ABOVE :

BALANCE OF ANNUAL LEAVE :

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This document can be used by PT. Opac Barata

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