Leave Application Form
General Information:
Applicants Name: Designation:
Department: Date:
Name Emp.No Section Department
Type Of Leave
Requeste
!asual
Sic"
No. of Days Requeste
#rom$$$$$$$$$$$$$$$
To$$$$$$$$$$$$$$$$$
Day$$$$$$$$$$$$$$$$
Reasons Of Leave Aress During Leave
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$
Date Applicants Signature
Applicants Signature $$$$$$$$$$$$$$$$$$$
Supervisors Remarks (If Applicable):
Remar"s:
Supervisors Name: Supervisors Designation:
Signature: Date:
Approving Authorit (!epartmental "ea#)
#ull Name: Designation:
Signature: Date:
Leave Approved Leave Not Approved
$fficial %se $nl (to &alculate Leave 'alance)
Leave Recor# Sick &asual
%revious &alance
On T'is #orm
!urrent &alance
(ote: Please fill the application before proceeding on leave & if its an emergency then call the office before
11:00am on the date of leave and fill the application form on your return day. Otherwise you will be considered
absent. Two short leaves short leave means more than ! hours leave" will be considered as one full leave.