Centerpoint Industries Sdn. Bhd.
1024634-H) (
Lot 720, Block 7, Jalan Demak Laut Industrial Park,
93050 Kuching, Sarawak.
Tel: 019-8166264 Email:
[email protected] LEAVE APPLICATION FORM
Employee Name: Department:
Leave Application Remaining Entitlement
Leave Type Date No. of
Entitlement Taken Balance
(Tick where applicable) Start End days
☐ Annual Leave
☐ Sick Leave
☐ Hospitalisation Leave
☐ Maternity Leave
☐ Emergency Leave
☐ Unpaid Leave
☐ Study/Exam Leave
☐ Compassionate Leave
☐ Other _________
I wish to apply for leave as stated above. Please state your reason :
Signed (Employee) Date :
Approved by:
Name Position Date
Note: This application must be endorsed by your Immediate Superior before submitting to the Human Resource
Department.
All forms must be submitted at least 3 days before going on leave on the said date. Please attach medical certificates
for sick leave.
All forms must be submitted to HR department for filing.