LEAVE APPLICATION FORM

NOTE: FLOW OF THIS FORM (APPLICANT → SUPERVISOR → DIRECTOR / HEAD → HUMAN RESOURCES DEPT)

COMPANY (PLEASE MARK  ON THE BOX)

 AAGL  Environment  Geotechnical  Building Engineering

 PMCM  Transportation ☐ Water

 Others : _________________________

APPLICANT INFORMATION (PLEASE FILL IN ALL INFORMATION)

FULL NAME YIP, Wai Tung STAFF NO. 327657

POSITION ARE DEPARTMENT WSD - RBWM

Service Manager’s Delegate
LOCATION Office FLOOR 32/F, Billion Centre

DIRECTOR / HEAD Wilson Leung SUPERVISOR Ken Lam

TYPE OF LEAVE (PLEASE MARK  ON THE BOX)

☐ ANNUAL LEAVE ☐ TIME OFF IN LIEU ☐ NO PAID LEAVE
☐ SICK LEAVE* ☐ PATERNITY LEAVE # ☐ MATERNITY LEAVE 
☐ BEREAVEMENT LEAVE ☐ LEAVE CANCELLATION
☐ OTHERS, PLEASE SPECIFY:

LEAVE PERIOD
☐ a.m.

LEAVE STARTING FROM 17/7/2023 LEAVE ENDING ON 17/7/2023 ☐ p.m.

(dd/mm/yy) (dd/mm/yy)
TOTAL NO. OF LEAVE 0.5 DAY(S)

*SICK LEAVE: IN CASE OF SICK LEAVE FOR MORE THAN 1 DAY, PLEASE ATTACH THE MEDICAL CERTIFICATE ACCORDINGLY.
#PATERNITY LEAVE: PLEASE PROVIDE COPY OF BIRTH CERTIFICATE WITHIN ONE MONTH FROM THE CHILD’S BIRTH DATE.
MATERNITY LEAVE: PLEASE PROVIDE ORIGINAL MEDICAL CERTIFICATE TO CERTIFY THE ACTUAL DATE OF CONFINEMENT AFTER CHILD BIRTH.

APPROVED BY

SUPERVISOR’S ENDORSEMENT DIRECTOR’S /HEAD’S APPROVAL

APPLICANT’S SIGNATURE
Ken Lam Wilson Leung

DATE : DATE : DATE :