Staff Annual Leave Application Form
Full Name
*
First Name
Last Name
Email
*
example@example.com
Department
*
Please Select
UMA
Dawah Department
Sisterhood
SIC
Islamic Media
Religious Affairs
UMA Facilities
NCSG
UMA College
Other
Position
If Applicable
Type of Leave
*
Please Select
Annual leave with pay
Annual leave without pay
Long service leave
Sick leave
Number of leave days
*
Starting Date
*
-
Day
-
Month
Year
Date
Resumption Date
*
-
Day
-
Month
Year
Date
Who have you delegated responsibility of your role to?
*
Comments
Signature
*
Date
*
-
Day
-
Month
Year
Date
Management Use Only
Reporting Officer
Approved
Rejected
Pending
Management Comments
Submit
Should be Empty: