LEAVE APPLICATION FORM

EMPLOYEE
NAME

EMPLOYEE
NUMBER

DEPT /
POSITION

ADITYO ARI SAPUTRO

SUBMISSION : 24/11/2013
DATE
CONTACT
TEL NO :

081808670845

Operational / Customer Support

I wish to apply for the following leave(s):

TYPE OF LEAVE: (please attached supporting documents for your leave apply where possible)
ANNUAL LEAVE

MATERNITY/PATERNITY LEAVE

UNPAID LEAVE

CHILDCARE LEAVE

OTHER

MARRIAGE LEAVE
OFF-IN-LIEU (please specify the project/duties
conducted date)

PERIOD APPLYING FOR: 90 (no of days)

FROM : 7 DECEMBER 2013

TO : 8 DECEMBER 2013

FROM :

(AM/PM)

TO :

(AM/PM)

FROM :

(AM/PM)

TO :

(AM/PM)

FROM :

(AM/PM)

TO :

(AM/PM)

REASONS FOR LEAVE:

MARRIAGE LEAVE
DUTIES TO BE COVERED BY
(please specify if any) :

ADITYO ARI SAPUTRO

24 November 2013
Applicant Name / Signature / Date

DATE :
Name, Signature and Date of Manager

APPROVED / NOT APPROVED

HR DEPT :

Leave application Policy & Procedures :

1.
Apply your planned Annual Leave as early as possible. For planned Annual Leave of more than 1 day, please
submit at least 2 weeks before your schedule leaves, this is to ensure proper job coverage had been arrange prior
to your absence.
2.
If you should need to take urgent leave, please contact your direct supervisor or the HR Manager. Upon
returns from your leave, please submit your leave application form within 24hours for your direct supervisor
endorsement.
3.
For NS, Maternity/Paternity, Childcare (first time applicant only), Medical, Marriage, Compassionate leave
supporting documents must be submitted with the Leave form to HR.

4.

For Off-in-lieu, please specify the nature of the OIL awarded. The leave must be taken within 2 weeks from
date of duties performed.