QMS Ref. No.

MRSB-HRA-OLA-20
Revision No. 0.1
Effective Date 24 JUNE 2020
Page No. 1 of 1

OFFICIAL LEAVE APPLICATION FORM

Name Employment status (Please tick)

Position Probation
Confirmed
√
Department
Types of leave applied:

Annual Leave Marriage/Matrimonial Leave Compassionate Leave

Unpaid Leave Maternity Leave Haj Leave
Sick Leave (MC) Paternity Leave Replacement Leave
Hospitalisation leave Examination Leave

Please provide supporting documents for leave’s applied for other than Annual Leave and Unpaid Leave

No. of days (please indicate):

Reason for leave application:
(Please indicate)

Start date Date of

End date Signature: application:

VERIFICATION AND APPROVAL BY IMMEDIATE SUPERVISOR

This application verified and is Approved/Rejected

Remark (s):

Superior’s name Signature Date

APPROVAL AND ENDORSMENT BY HEAD OF DEPARTMENT
This application is Approved/Rejected and endorsed to be processed.

Remark (s):

Name Signature Date

HUMAN RESOURCES AND ADMINISTRATION DIVISION

Leave Type Processed by:

Name Signature
Entitlement

Taken to-date Date

Balance

Leave applied
 QMS Ref. No. MRSB-HRA-OLA-20
Revision No. 0.1
Effective Date 24 JUNE 2020
Page No. 1 of 1

Leave Balance