EMPLOYEES LEAVE APPLICATION FORM

Employee Name: Department:

Employee ID: Position:

Leave Application Remaining Entitlement

Reason for Leave Date No. of

Entitlement Taken Balance
(tick where applicable) Start End days
☐ Sick Leave
☐ Hospitalisation Leave
☐ Maternity Leave
☐ Emergency Leave
☐ Half Day Leave
_____________________
☐ Study/Exam Leave
☐ Other _____________

I wish to apply for leave as stated above.

Signed (Employee) Position Date

☐ Approved ☐ Not Approved
Approved by:

Name Position Date

No of Approved days:

Note: This application must be endorsed by your Immediate Superior before submitting to the Human Resource
Department.
All forms must be submitted at least 3 days before going on leave on the said date. Please attach medical
certificates for sick leave.
All forms must be submitted to HR department for filing.

NO._____________