Leave Application Form: 1. Applicant's Details

LEAVE APPLICATION FORM
1. Applicant's Details
Name
Department
: Workshop
Position
: Technician
Date
Type of Leave applied for (please mark X in the box)

Annual
Marriage
Maternity
Long Term Hospitalisation/MC (please attach MC/Medical Leave)
Offshore
Project Name:
Duration at site:
Standby
(Pls state reason)
Emergency (Pls state reason)
Others
(Pls state reason)
* When taken Emergency Leave, this form must be submitted with supporting document.
Duration Of Leave (inclusive of Weekends and Public Holidays)
Replacement Person While On Leave:
Leave Applied Date
: From
Name
No. of Working Days Applied
Reporting To Work On
Signature
Leave Contact No.
Date
Leave Address
:
Contact No.
Department
Applicant's Signature
To
2. Verification by HR
Leave Balance
(before this leave)
Leave This Application
days
Name
days
Signature
Leave Balance
days
Date
3. Approving Authority
Authorised by immediate Supervisor /Manager
Name
Authorised by Head of Department
: Mr.JJ Gay
Name
Signature
Signature
Date
Date
Note : Annual leave must be applied Five (5) working days prior to the actual leave date. Otherwise, it will be considered as
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either emergency or unpaid leave.
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Name
: Shahrul Nizar Bin Baharom
Department
: Operation
Position
: Technician
Date
: 07.07.2015

X
Annual
Marriage
Maternity
Onshore
Project Name:
Duration at site:
Standby
(Pls state reason)
Others
(Pls state reason)

Leave Applied Date
: From
6 day
7/27/2015
Leave Contact No.
: 014-2910071
Leave Address
: Batu 24 Kuala Sungga Tebong

Alor Gajah 76460 Melaka
7/15/2015 To

###
Name
Signature
Date
Contact No.
Department
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
Name
Name
Signature
Signature
Date
Date
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Name
: DON RAHMAT B. NAZARUDIN
Department
: Workshop
Position
: CR TECH
Date
: 9.11.2015

Annual
Marriage
Maternity
Offshore
Project Name:
/
Standby
(Pls state reason)
Others
Duration at site:
family passaway
(Pls state reason)
Leave Applied Date
: From
Name
0.5 days
9.11.2015
Signature
Leave Contact No.
: 019-6356353
Date
Leave Address
: PORT DICKSON N.SEMBILAN

Contact No.
Department
7.11.2015
to 7.11.2015
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
Name
Name
Signature
Signature
Date
Date
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Name
: SHAMSUL BIN SAPIEE
Department
: WORKSHOP
Position
: Technician
Date
: 03.08.2015

Annual
Marriage
Maternity
Offshore
Project Name:
Duration at site:
Standby
(Pls state reason)
Others
(Pls state reason)
Leave Applied Date
: From
Name
03.08.2015
Signature
Leave Contact No.
: 013-5696095
Date
Leave Address
: KLINIK KESIHATAN SADONG JAYA,

94600 ASAJAYA,KOTA SAMARAHAN,
SARAWAK
Contact No.
Department
7/27/2015 To 7/31/2015
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
Name
Name
Signature
Signature
Date
Date
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Name
: Lor Thim Kheong
Department
: Workshop
Position
: Machinist
Date
: 10.09.2015
Annual
Marriage
Maternity
Offshore
Project Name:
Duration at site:
Standby
(Pls state reason)
Others
(Pls state reason)
Leave Applied Date
: From
Name
21/09/2015
Signature
Leave Contact No.
: 012-658 5418
Date
Leave Address
: Subang 2
Contact No.
Department
18/09/2015 To 18/09/2015
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
Name
: MR.JJ Gay
Name
Signature
: 10.09.2015
Signature
Date
Date
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Name
: Mohammad Fadhli Bin Abdul Talib
Department
: Workshop
Position
: Practical Trainee
Date
: 22/08/2014

Annual
Marriage
Maternity
Offshore
Project Name:
Duration at site:
Standby
(Pls state reason)
Others
(Pls state reason)
Go to University
Leave Applied Date
: From
Name
2 days
27/08/2014
Signature
Leave Contact No.
013-4767107
Date
Leave Address
Kampung Paya Jaras Hilir

Contact No.
Department
25/08/2014 To 26/08/2014
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
Name
: MR.JJ Gay
Name
Signature
Signature
Date
Date
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Name
: Mohamad Reduan Bin Zainal
Department
: Workshop
Position
: W/Shop Supv
Date
: 24/01/2015

Annual
Marriage
Maternity
Offshore
Project Name:
Duration at site:
Standby
(Pls state reason)
/
Others
(Pls state reason)
fever and Cought
Leave Applied Date
: From
22/01/2015 To 23/01/2015
Name
1 1/2 days
24/01/2015
Signature
Leave Contact No.
017-2290276
Date
Leave Address
Kg Kemadak, titian Bintangor,

Mukim Sungai Siput,
71150 Linggi, Lubuk China,
Melaka.
Contact No.
Department
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
Name
: MR.JJ Gay
Name
Signature
Signature
Date
: 24/01/2015
Date
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Name
: Salamiah.M
Department
: Workshop
Position
: Technician
Date
: 31/12/2014

Annual
Marriage
Maternity
Offshore
Standby
Project Name:
(Pls state reason)

Others
(Pls state reason)
Duration at site:
Anak sakit
Leave Applied Date
: From
Name
2 Days
31/12/2014
Signature
Leave Contact No.
: 012-2005059
Date
Leave Address
: No.144,Phase 3C,Jalan Anggerik 3/1

SBCR,47000.Sungai Buloh,
Selangor
Contact No.
Department
29/12/2014
To 30/12/2014
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
Name
: Mr.JJ Gay
Name
Signature
Signature
Date
: 31/12/2014
Date
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Name
: Muhamad Amir Saifullah Bin Muhamad
Department
: Workshop
Position
: Logistic Executive
Date
: 15.08.2015

Annual
Marriage
Maternity
Onshore
Project Name:
Duration at site:
Standby
(Pls state reason)
X
Others
(Pls state reason)
Raya Aidiladha

Leave Applied Date
: From
2.5 day
9/28/2015
Leave Contact No.
: 0129612196
Leave Address
: Kerteh, Kemaman,
Terengganu
9/24/2015 To

###
Name
: Nurain Ab Aziz
Signature
Date
: 8/15/2015
Contact No.
: 0122044553
Department
: Workshop
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
Name
Name
Signature
Signature
Date
Date
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Name
: NURAIN BINTI AB AZIZ
Department
: Workshop
Position
: WORKSHOP ADMIN
Date
: 03-09-2015

Annual
Marriage
Maternity
Onshore
Project Name:
Duration at site:
Standby
(Pls state reason)
X
Others
(Pls state reason)
Kursus Tekun

Leave Applied Date
: From
0.5 day
9/8/2015
Leave Contact No.
: 012-2044553
Leave Address
: No.45, Jalan 1, Taman Subang Baru

40150 Shah Alam
9/8/2015
To

08-0915
Name
Signature
Date
Contact No.
Department
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
Name
Name
Signature
Signature
Date
Date
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Name
: Mohd Huzairi Bin Rusli
Department
: Workshop
Position
: RPS
Date
: 26.11.2015

x
Annual
Marriage
Maternity
Onshore
Project Name:
Duration at site:
Standby
(Pls state reason)
Others
(Pls state reason)
Leave Applied Date
: From
Name
0.5 day
7.12.2015
Signature
Leave Contact No.
: 019-9555845
Date
Leave Address
: H-G-18 Blok H,
Rumah Pangsa Rampai Idaman,
Jalan PJU 10/9,Prima Damansara,
47830 Petaling Jaya, Selangor
:
Contact No.
Department
Leave Balance
(before this leave)
days
Name
days
Signature
Leave Balance
days
Date
5.12.2015 To 5.12.2015
Name
Name
Signature
Signature
Date
Date
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LEAVE APPLICATION FORM

Type of Leave applied for (please mark X in the box)

(Pls state reason)

Duration Of Leave (inclusive of Weekends and Public Holidays)

Replacement Person While On Leave:

Leave Applied Date

No. of Working Days Applied

Leave Contact No.

Authorised by Head of Department

1st April 2009

either emergency or unpaid leave.

1st April 2009

1st April 2009

1st April 2009