LEAVE APPLICATION FORM

Employee Name: IDA BAGUS GEDE PALGUNA

Designation: ASSISTANT AIRPORT MANAGER
Date Requested: 25th OCT 2017

Type of Leave:
Annual Leave √

Sick Leave

Others

Durations of Leave:
Leave from 31st OCT 2017

Leave to 02nd NOV 2017

Total Leave Days 3 DAYS

Reasons for Requested Leave / Remark:

HARI RAYA GALUNGAN

Employee Name / Signature: IDA BAGUS GEDE PALGUNA

Date: 25th OCT 2017

Approval By:

Date:

Conditions:
1. Short period leave must be applied at least 3days in advance.
2. Long period leave must be applied at least 2weeks in advance.