Staff Annual Leave Application Form
Staff Leave Application Form
( Annual & Emergency)
Name
First Name
Last Name
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
ID Number
Department
Designation
Date of last Leave
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
1
Date of Resumption
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
2
Type of Leave
Please Select
Annual Leave
Emergency Leave
Number of leave days
Starting Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
3
Resumption Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit 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
Approved
Rejected
Finance Officer
Approved
Rejected
HR Officer
Approved
Rejected
Signature of Operation Manager
Signature of Managing Director
Management Remarks
Submit
Should be Empty: