Document ID: LI-LEF-0001
Revision: 02
LEAVE APPLICATION FORM
Revision Date: 14-Jan-2025
Page: 1 of 1
IMPORTANT NOTICE;
PLEASE MAKE SURE THAT THIS APPLICATION FORM IS SUBMITTED TO THE HR FOR APPROVAL
THIS APPLICATION FORM WILL TAKE SEVEN (7) WORKING DAYS TO BE APPROVED OR REJECTED
PLEASE MAKE SURE THAT YOU CHECK IT AFTER SEVEN (7) FROM THE DATE REQUESTED
Employee Name:
Position: Employee number:
Department:
Please
Annual Leave Family Responsibility Maternity leave
Sick Leave Parental Leave Adoption Leave
Commissioning parent leave Unpaid leave
Reason for leave:
Leave from: To:
Employee’s signature: Date requested: 8/7/2025 11:45 AM
Supervisor’s Name: ____________________________________ Approved Rejected
Signature: _____________________________________ Date:
HR signature: Approved Rejected
Date:
Important comments:
Manager’s signature: Approved Rejected
Date:
Important comments: