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

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TOTAL LEAVE APPROVED

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LEAVE NOT APPROVED

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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

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RECORD BY HR :_________________________ DATE : ________________________