Staff Annual Leave Application Form
Staff Leave Application Form
( Annual & Emergency)
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
ID Number
Department
Designation
Date of last Leave
-
Month
-
Day
Year
1
Date of Resumption
-
Month
-
Day
Year
2
Type of Leave
Please Select
Annual Leave
Emergency Leave
Number of leave days
Starting Date
-
Month
-
Day
Year
3
Resumption Date
-
Month
-
Day
Year
4
Who does your work in your Absence
*
Representative Name and Signature
Signature of
Contact Address
Street Address
Street Address Line 2
City
State / Province
Mobile Number
Applicant Signature
Reporting Officer
5
Approved
Rejected
Finance Officer
6
Approved
Rejected
HR Officer
7
Approved
Rejected
Signature of Operation Manager
Signature of Managing Director
Management Remarks
Submit
Should be Empty: