Follow the steps to accurately complete your form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, input your full name where indicated. Ensure to use the name that matches your identification documents.
3. Next, enter your employee number in the corresponding field. This is typically found on your employment ID or payroll information.
4. Provide your job title as it appears in your official documentation. This helps identify your role within the organization.
5. Fill in the department or school section. Ensure this corresponds with your current place of work or assignment.
6. Indicate the type of medical clinic you attended, whether it is a government clinic or a private one. Choose based on where you received treatment.
7. Attach any medical certificates or doctor’s notes as required. This documentation should support your application for medical leave.
8. Sign the application form where indicated. Ensure your signature is clear and matches the one on your ID.
9. Include the date and time of application in the specified fields.
10. Submit the completed form for approval, ensuring that it is reviewed by the appropriate department head.
11. Once approved, remember to submit the original signed form to the Human Resource department within 24 hours.
12. Finally, save your changes and download or print the completed form for your records. You may also wish to share it internally as needed.

Complete your documents online today for a streamlined process.