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Work From Home Application Form

The document is a work from home application form for an employee. It contains sections for the applicant to provide their personal details, work from home information including dates and reason for application, and a declaration. The form instructs applicants to submit it at least 7 days before for approval and attach any required supporting documents. It also notes that failure to comply with company standards while working remotely could result in disqualification from the work from home program.

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M.R Danial
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1K views1 page

Work From Home Application Form

The document is a work from home application form for an employee. It contains sections for the applicant to provide their personal details, work from home information including dates and reason for application, and a declaration. The form instructs applicants to submit it at least 7 days before for approval and attach any required supporting documents. It also notes that failure to comply with company standards while working remotely could result in disqualification from the work from home program.

Uploaded by

M.R Danial
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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CONFIDENTIAL

L1-13A, Cova Square, Jln. Teknologi, Kota Damansara PJU5, 47810 Petaling Jaya, Selangor Tel: 603-6144 0703

WORK FROM HOME


APPLICATION FORM
INSTRUCTIONS:
1. Please submit your Work from Home (WFH) application at least seven (7) days
prior to HR Dept. for approval.
2. You are required to check on the approval status prior to Work from Home.
3. Please attached all the required supporting documents together with this form.

SECTION A: PERSONAL PARTICULARS


Name as per National Identity Card/Passport

Job Title Department

Mobile No. Employee No.

SECTION B: WORK FROM HOME INFORMATION


Start Date End Date

Working Address
Postcode

City

State
Reason of the Work from Home Application:
Conditional Work from Home Others, please specify

Equipment/Facilities Availability ( )
(Please attached any related supporting document for application approval purposes)

Tools - Laptop / Desktop (Model / Year)

Internet Connectivity -Mobile Internet / Home Cable / Wifi

Work Station / Working Table / Chair

SECTION C: DECLARATION
I understand and agree with all the expectations, duties, obligations, and responsibilities while
Working from Home. Failure to comply with Company standard practice may resulted in I am
disqualified for the Work from Home scheme.

Signature
Full Name Date

FOR OFFICE USE ONLY


For Office Use Only
Approved Approved
Declined Signature Declined Signature

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