NGLTECH SDN BHD

Doc No : NGL-04-HR21
Reg Date : 01/10/2013
Rev : 0
Rev Date :
Page :
LEAVE APPLICATION FORM







Name :
Permanent Employee
Staff No. :
Contract Employee
Department :
Intern Employee



From (date) To (date) Total no of working days


Please tick the type of leave application. * Attached the documentary evidence where applicable
Annual Leave



Medical Leave (Medical Certificate attached)

No Pay Leave Emergency Leave
Other Leave (specify)___________________________________
Reasons for Leave :



I understand that the management may at any time cancel my leave and recall me for duty, if in its opinion it is desirable in
the interest of the Company to do so.

During my leave, I can be contacted at the following address/es:



Applicant Signature _________________________________ Date ______________________


SECTION B (To be completed by Project Manager / Supervisor)
Relief cover for the period required? No Yes (Please provide names and contact no.)



____________________________
Project Manager / Supervisor
Name :
Date
____________________________
Head of Department
Name :
Date
SECTION C (To be completed by Employee)

LEAVE Last year
balance forward
Current year
balance
Total Leave applies
for
Balance
ANNUAL
MEDICAL