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Leave of Absence Form: Formulir Permohonan Absen

Yusak Kristanto is requesting annual leave from his position as an Electrical Engineer Staff in the Engineering division of the company. He is requesting to take leave for a certain number of days in a given year, as indicated on his leave balance. He has attached any necessary documents and received approval from his manager, Joselito Francisco.

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0% found this document useful (0 votes)
55 views1 page

Leave of Absence Form: Formulir Permohonan Absen

Yusak Kristanto is requesting annual leave from his position as an Electrical Engineer Staff in the Engineering division of the company. He is requesting to take leave for a certain number of days in a given year, as indicated on his leave balance. He has attached any necessary documents and received approval from his manager, Joselito Francisco.

Uploaded by

YusakChristanto
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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LEAVE OF ABSENCE FORM

FORMULIR PERMOHONAN ABSEN

employee name employee id no.


nama karyawan YUSAK KRISTANTO no. id karyawan
employee title group PRODUCT EXECUTION
jabatan karyawan ELECTRICAL ENGINEER STAFF grup
employee mobile no. division ENGINEERING
no. hp karyawan 081281232177 divisi
employee email address department ELECTRICAL DESIGN
email karyawan [email protected] departemen

type of absence day(s) + time of absence / request of absence


JENIS ABSEN HARI + WAKTU ABSEN / PERMOHONAN ABSEN
annual leave day(s) of absence time of absence
cuti tahunan hari absen waktu absen
working day
short period absence
ketidakhadiran annual leave balance
singkat di hari kerja SALDO CUTI TAHUNAN
leave early permision starting leave balance (days) year
izin pulang pagi saldo cuti awal (hari) tahun
sick* leave request (days) year
sakit*
permohonan cuti (hari) tahun
late remaining leave balance (days) year
terlambat
sisa saldo cuti (hari) tahun
other
lain-lain
requested by approved by manager
(sign) (sign)
please specify

attachment yes no
LAMPIRAN
* Submission of a Doctor’s Note is required, if sick day exceeds 1 day. Yusak Kristanto Joselito Francisco
Surat Keterangan Dokter diperlukan jika sakit melebihi satu hari. print name date (dd/mm/yy) print name date (dd/mm/yy)

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