Staff Leave Request Form

Employee Name(Required)

Designation(Required)

Email(Required)

Department(Required)

Leave Type(Required)

Full Day

Short Day

Start Date(Required)

Specify the leave start date

End Date(Required)

Specify the leave end date

Date(Required)

Specify the short day exit

Time Out(Required)

Time In(Required)

For any updates in time in, please email HR

Reason(Required)

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Reason(Required)

This field is hidden when viewing the form

Number of Days(Required)

Leave Category(Required)

Emergency

Sick

Maternity

Compassionate

Do you have sick leave certificate?

Kindly send the soft copy of the sick leave certificate/Medical Note to HR email

Attach Supporting Document

(Mandatory for Sick Leave)

Max. file size: 80 MB.

Signature(Required)

Accepted file types: jpg, jpeg, png, Max. file size: 80 MB.

Request Date(Required)