الموضوع: LEAVE APPLICATION FORM

LEAVE APPLICATION FORM

EC No. :		NAME :				DESIGNATION :
FUNCTION		REPORTING MANAGER (Sanctioning Authority)				LOCATION
TYPE OF LEAVE		PERIOD		TOTAL DAYS ON LEAVE	LEAVES AVAILABLE		LEAVES DUE
C.L	M.C.L.
		FROM	TO
M.L	Comp Off			ADDRESS WHILE ON LEAVE/CONTACT TELEPHONE NO.	PERSON RESPONSIBLE IN ABSENCE
REASON For LEAVE

____________________ ___________________ ____________
HR Department Recommended by Sanctioned by

UNDERTAKING

I undertake that if I overstay on expiry of the sanctioned leave, I shall be marked as absent in my attendance register and if I want to extend my leave, I shall intimate to HR department in due time and in the event of my illness, I shall submit Medical Certificate from the appropriate Medical authority.
Signature of Applicant