Leave Record of
FIRST
LAST
as at 01 May 2024
(I) Rest day(s)
Rest day taken on (date)
Signature of FDH
(II) Statutory holiday(s)
Statutory holiday taken on (date)
Name of statutory holiday (Please specify)
Signature of FDH
(III) Paid annual leave
Period of annual leave taken (dates)
Signature of FDH
From
To
(IV) Others (e.g. paid sick leave, etc.)
........................................