EMPLOYEE LEAVE APPLICATION FORM

Name of the Employee Designation Job Location : : :

Nature of Leave to be availed (Earned/ casual / Sick): Date of Leave : From To

Total Number of Leave Days: Reason for taking leave :

You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent and please attach supportive document for sick leave.

Date:

Applicants Signature:

FOR APPROVAL ONLY

Date of Receipt of Application Approved Rejected

: _____________

Reason for not approved :

Earned / Sick / Casual Leave granted from _________ to _________ For ______ days

Sanctioning Date ___________________

Authority Signature__________________

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