HCD/HCS/011-EV1
PRASARANA MALAYSIA BERHAD
LEAVE APPLICATION FORM
EMPLOYEE’S PARTICULARS
NAME : DIVISION :
STAFF NO. : DEPT/SEC/UNIT :
DESIGNATION : LOCATION :
GRADE : CONTACT NO. :
I would like to apply for leave on the following day (s) :
On / From To No of day (s) Type of leave Contact No.
Reason (other than Annual
Leave) :
LEAVE ELIGIBILITY (compulsary)
Entitlement for the year :
Balance from the previous year :
Total entitlement : 0
No. of leave taken-to-date :
No. of leave being applied for :
Balance of leave after this application : 0
During my absence, my duties will be taken over by _____________________________________ (name and signature)
………………………………….
Applicant's Signature
Date :
Recommended / Not recommended Approved / Not approved
…………………………………. ………………………………….
Immediate Superior Head of Division/Department
Name : Name :
Designation : Designation :
Date : Date :
* Note :
a. Annual Leave : Application at least five (5) days earlier.
b. Other Leave : Please provide supporting document.
c. Other than annual leave and medical leave, it must be approved by Chief Human Capital Officer.
FOR HUMAN CAPITAL DIVISION (HCD) USE ONLY
Approved / Not Approved
………………………………….
Chief Human Capital Officer
Name :
Date :