Borang Cuti

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  • 1. Surat Pekeliling Am Bil. 3 Tahun 1990 PERMOHONAN CUTI REHAT No. Perakam Waktu : Kepada : .......................................................................................................... ( Ketua Bahagian / Unit ) Saya mohon kebenaran cuti rehat selama ...................................................................................... hari mulai * daripada / pada ........................................................... hingga .................................................................. Catatan** Tandatangan Pemohon : ................................................................. Nama Penuh : ................................................................. Jawatan : ................................................................. Tarikh : ................................................................. Kepada : ..................................................................................................................................................... ( Pegawai Yang Meluluskan Cuti ) Permohonan cuti di atas *disokong / tidak disokong. Tarikh : .................................................... ................................................................. Tandatangan Ketua Bahagian / Unit Permohonan cuti di atas *diluluskan / tidak diluluskan. Tarikh : .................................................... ................................................................. Tandatangan Pegawai Yang Meluluskan Cuti Untuk Kegunaan Pejabat Baki cuti pemohon .................................. hari. ( Diisi dan ditandatangan ringkas sebelum borang diserahkan kepada pemohon. ) Pemohon diberitahu dan cuti direkod. ( Tindakan ini hendaklah diambil setelah cuti diluluskan ) Tarikh : ........................................................ ................................................................. b.p. Pegawai pentadbiran Nota : * Potong mana yang tidak berkenaan ** Keterangan mengenai cuti yang diambil Kepada : ..................................................................................................................................................... ( Nama Pemohon ) Permohonan cuti tuan / puan telah diluluskan selama ............................................................................. hari. dari .................................. hingga .................................... Baki cuti rehat ............................................ hari. ................................................................. b.p. Pegawai Pentadbiran