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Leave Application Form

This document is a leave application form for employees to request various types of leave such as Earned Leave, Sick Leave, Casual Leave, Leave Without Pay, and Maternity Leave. It includes sections for employee details, leave dates, reason for leave, and signatures from the reliever and Head of Department. Additionally, there is a counterfoil section for HR to confirm the leave granted and its details.

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metispro005
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103 views2 pages

Leave Application Form

This document is a leave application form for employees to request various types of leave such as Earned Leave, Sick Leave, Casual Leave, Leave Without Pay, and Maternity Leave. It includes sections for employee details, leave dates, reason for leave, and signatures from the reliever and Head of Department. Additionally, there is a counterfoil section for HR to confirm the leave granted and its details.

Uploaded by

metispro005
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

LEAVE APPLICATION

Date…………………

Earned Leave (EL) / Sick Leave (SL) / Casual Leave (CL) / LWOP / Maternity Leave (ML)
desired

Employee Code ……………………………………… Designation ……………………………….

Employee Name ……………………………………… Department ……………………………….

from……………………………….……………. to……………….………… No of Days………………………………….

Reason: ………………………………………………………………………………………………………………………………….

Address while on Leave: ………………………………………………………………………………………………………………….

Reliver Name & Contact number:

……………………………………………………………………………………………………….

Reliever Signature: ……………………………………………………………………………………………………………………….

HOD Name & Signature: ……………………………………………………………………………………………………………….

Employee Contact No: ………………………………….

Date: ………………………………………... Signature of

Employee

Counterfoil
Reference your leave application for E L / S L / C L / LWOP/ML
You are granted leave from …………………….… to as follow.
Leave with pay………………. Days Leave without pay Days

Employee Code Designation


Name Department
Date:
Human Resource Department

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