LEAVE APPLICATION FORM
Name (Full Name) : Staff No. : Team :
Leave Type : Annual Other (pls. Specify)
Sick Leave (pls. attach original doctor's certificate / attendance sheet)
Compensation Leave (pls. Specify)
APC Exam Leave (pls. attach original supporting document)
Leave Date From : To : = Day(s)
From : To : = Day(s)
From : To : = Day(s)
From : To : = Day(s)
Signature of Applicant : Signature of Supervisor : Approved by Team
(If applicable) Leader :
Name: Name: Name:
Date: Date: Date:
OFFICE USE ONLY
ANNUAL LEAVE IN ARREARS TAKEN BALANCE
Previous Balance : Day(s) Day(s) Day(s)
Current Year : Day(s) Day(s) Day(s)
Recorded by HR Approved by Director(s) : Endorsed by
Dept.: (for team leaders use only) Chairman:
BERIA/HR/FORM/009 1 ISSUED on 06-2017
LEAVE APPLICATION FORM
Name: Name: Peter NG Name: Keith YIM Name: Amelia FOK Name: Peter NG
Date: Date: Date: Date: Date:
BERIA/HR/FORM/009 2 ISSUED on 06-2017