1. All leave of absence applications must be approved by the Team Lead of the assigned project and be submitted last to the admin department.
2. Leave due to sickness/medical reason of 2 days or more must be supported by Doctor’s certificate and must be filed upon return to work/duty.
3. Planned leave application of 1‒3 days must be filed at least 1 week in advance; 4 days or more must be filed at least 2 weeks in advance.
4. Failure to report for work or absence without valid or justifiable reason may be subject to the following penalties:
   • First offense: Written Warning
   • Second offense: Suspension of 1‒3 days (Without Pay)
   • Third offense: Suspension of 5–10 days (Without Pay)
   • Fourth offense: Suspension of 10–20 days to termination

I hereby request leave of absence from duty as indicated above and certify such leave/absence is requested for the purpose(s) indicated. I understand that I must comply with the policies and procedures for requesting leave of absence (and provide additional documentation, including medical certification, if required) and that falsification on this form may be grounds for disciplinary action.