PUNCAK MEDINA SDN BHD
Lot 5 & 6, Lorong Makat Industrial Estate, Off Jalan Kolombong 88450, Kota Kinabalu, Sabah Tel : 088-386786 Fax : 088-430787
LEAVE APPLICATION FORM
PART A: BY EMPLOYEE NAME : EMPLOYEE NO : DATE JOIN LEAVE DATE : FROM :
ANNUAL LEAVE MATERNITY LEAVE
POSITION LOCATION / DEPT DATE CONFIRM TO :
UNPAID LEAVE PATERNITY LEAVE
: : : NO OF DAY
SICK LEAVE ABSENT
TYPE OF LEAVE APPLIED EMERGENCY LEAVE
REASON FOR LEAVE APPLIED : STAFF RELIEVING : TASK HANDOVER :
(SIGNATURE) (SIGNATURE)
EMPLOYEE NAME : DATE APPLIED :
RELIEVING STAFF NAME : DATE :
PART B: BY HUMAN RESOURCE DEPT
B/F ENTITLED ANNUAL LEAVE TOTAL TAKEN BALANCE ENTITLED SICK LEAVE TAKEN REMARKS BALANCE
LEAVE TYPES ANNUAL LEAVE SICK LEAVE UNPAID LEAVE ABSENT EMERGENCY LEAVE MATERNITY LEAVE PATERNITY LEAVE
JAN
FEB
MAR
APR
MAY
LEAVE HISTORY JUNE JULY
AUG
SEPT
OCT
NOV
DEC
TOTAL
TOTAL LEAVE APPROVED
(SIGNATURE)
LEAVE NOT APPROVED
(SIGNATURE)
HEAD OF DEPARTMENT DATE :
MANAGING DIRECTOR DATE :
PART C: EMPLOYEE RECORD STAFF NAME : LOCATION :
B/F ENTITLED ANNUAL LEAVE TOTAL TAKEN
LEAVE DATE FROM :
TO :
SICK LEAVE TAKEN
NO OF DAYS :
REMARKS BALANCE APPROVED NOT APPROVED
BALANCE
ENTITLED
LEAVE TYPES ANNUAL LEAVE SICK LEAVE UNPAID LEAVE ABSENT EMERGENCY LEAVE MATERNITY LEAVE PATERNITY LEAVE
JAN
FEB
MAR
APR
LEAVE HISTORY MAY JUNE JULY
AUG
SEPT
OCT
NOV
DEC
TOTAL
TOTAL
RECORD BY HR :_________________________ DATE : ________________________