International Islamic University Malaysia Eye Specialist Clinic

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Application for Leave

International Islamic University Malaysia


Eye Specialist Clinic
To : Assoc Prof Dr Khairidzan Mohd Kamal, HOD Ophthalmology, Kulliyyah of Medicine

Name of Applicant :

Post : Staff No:

Annual leave Emergency leave Unrecorded leave

For :

From : To:

Phone no :

Date : Signature ________________________

All my duties will be covered in the interim by

Name of replacement :

Post : Staff No:

Date : Signature _______________________


_

Recommendation from Human Resource Approved/No objection Not Approved

Name : ____________________________ Post: ____________________________


__ __
Date : _______________________
_
Updated in Google Calender : Yes No

Signature ____________________________
__

Approval from HOD : Yes No

Date : __________________ Signature __________________________


____________ ____

Please return form to HR for file keeping

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