LEAVE APPLICATION FORM

Name: Christine Trivina Bitjoli

Position / Division: Moderator of Order Feed Indonesia
No. of days 1 From: 31 August 2022 To /and: 31 August 2022
Nature of leave:
Compassionate
Annual leave Emergency leave Sick leave
leave
Marriage leave Maternity/Paternity leave Unpaid leave

State reason: Family Events

Contact during absence (tel/address): (+62)823-2138-0700

Date & Signature:

(To be completed by HRA Dept)

Leave balance as at :

Add entitlement :

Less leave to be taken :

Balance :

Date & Initial :

(Approval by SUPERIOR)

Date: Signature
DEPT HEAD

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