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. |
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FROM |
TO |
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M.L |
Comp Off |
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ADDRESS WHILE ON LEAVE/CONTACT TELEPHONE NO. |
PERSON RESPONSIBLE IN ABSENCE |
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REASON For LEAVE
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____________________ ___________________ ____________
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