Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

LEAVE REQUEST FORM

DETAILS
Name of Employee: Date:

Job Title: Department:

Type of Request (Please tick appropriate box)


Annual Leave Special Leave

Marriage Leave Bereavement

Maternity/Paternity
Unpaid Leave
Sick Leave (Please state reason) Others (Please specify)

STATUS
Total Leave Allocation Leave Taken to Date Total Leave Remaining

LEAVE PERIOD REQUESTED

Leave Period From to Total No. of


Leave Dates
Remarks:

Person in Charge
During Leave Period

Signature of Employee / Date

AUTHORISATION

Name Title Signature Date

DIRECT
SUPERVISOR

PROJECT
LEADER /
DIRECT
MANAGER

HUMAN
RESOURCES

Page 1 of 1
BEI-HRF-121
Rev. 01
Date: 1 Jan 18

You might also like