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Leave Form

The document is a leave application form for an employee named Muhammad Fikri Bin Samuri. It includes sections for applicant details, leave details, annual leave balance, and approval signatures.

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mf081023
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0% found this document useful (0 votes)
34 views1 page

Leave Form

The document is a leave application form for an employee named Muhammad Fikri Bin Samuri. It includes sections for applicant details, leave details, annual leave balance, and approval signatures.

Uploaded by

mf081023
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LEAVE APPLICATION FORM

SECTION A (To be completed by staff)

Staff Name: Muhammad Fikri Bin Samuri


___________________________________________________________________________________
___________________________________________________________________________________
I/C No.: 020102-08-1023
_______________________ Designation: _______________________ Date: ____________

SECTION B (To be completed by staff)

I would like to apply for 1


_____ Day(s) leave from _____
11/12/2023 to _____
11/12/2023
Type of Leave (Please Tick)
/ Annual Maternity Marriage Compassionate
Unpaid Paternity Hospitalisation Emergency
others ………………………
Reason(s) for leave : Family matter
_________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
My contact address during the leave period : ________________________________
Telephone No: ________________________________

SECTION C (To be completed by staff)

a. Annual Leave Balance (Entitlement for the year) _______


b. Annual leave taken to date (excluding this application) _______
c. Annual leave available for utilisation (a - b) _______
d. Annual Leave Applied _______
e. Total annual leave remaining for the year (c - d) _______

Applicant Signature Recommended/ Not Recommended Approved/ Not Approved

________________________ ________________________ ________________________


Date: 23 Sept 2023 Date: Date:
Manager/Supervisor: Head Dept./Director

Important Note : Kindly ensure that leave application to be submitted at least seven (7) days before commencement

Copies To :
1. Employee (Photocopy)
2. Manager/ Supervisor/ Dept. (Photocopy)
3. HR Dept. (Original)

www.pancarbroadcast.com
Pancar Broadcast Sdn Bhd (1444279-T)
No. 42, Jalan Jasmin 1/KS6, Bandar Botanic, 42100 Klang, Selangor.

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