employee name hr id
department division platform department manager
________________________________________________________________________
please submit the approved leave application to hr (original copy)
annual vacation please check the appropriate box(one box only)
employee record update
current year entitlement (a) days
last year accrual (b) days
ytd days taken (c) days
balance to go (d) days
*note a+bcd
sicksickness disability leave pls attach doctor’s certificate &
doctor’s diagnoses book
marriage leave
maternityfraternity pls attach doctor’s certificate
compassionate leave
unpaid leave
nursing leave
remarks
other time off without pay pls specify reason
________________________________________________________________________
duration
total____________________________________________________________________
employee signature rachel huang date
department manager signature date
human resources use only
days actually taken this time_________________(if applicable)
payroll action taken (if applicable)
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