LEAVE APPLICATION FORM
Employee Name: Department:
Employee Number: Position: Job Grade:
Leave Application Remaining Entitlement
Leave Type Date No. of
Entitlement Taken Balance
(tick where applicable) Start End days
☐ Annual Leave 8
☐ Sick Leave 14
☐ Hospitalisation Leave 60
☐ Maternity Leave 98
☐ Paternity Leave 7
☐ Emergency Leave -
☐ Unpaid Leave -
☐ Study/Exam Leave -
☐ Marriage Leave -
☐ Compassionate Leave 3
I wish to apply for leave as stated above.
Signed (Employee) Position Date
Recommendation by:
Name Position 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.
NO._____________