LEAVE APPLICATION FORM
Type of Leave :
Annual
No Pay
Marriage *
Maternity / Paternity *
Compassionate *
Special *
Sick
* submit documentary proof
Replacement Day
Personal Particulars:
Name :
Designation :
Department :
Period of Leave (indicate AM/PM for half day application):
From :
Signature
To :
No of Working Days
Date
Remaks
(Department Approval)
Leave Computation by HR & Admin Dept
Leave Carried Forward
days
Leave Entitlement for Current Year
days
Less Leave Taken for Current Year
days
Less Current Leave Applied
days
Leave Balance up to Year End
days
Approved / Not Approved
Signature
Notes:
Date
(Management Approval)
Approved / Not Approved
1. Aplication for leave (except compassionate) should be
submitted to HR & Admin Dept throught Head of Department at
least 1 week in advance
2. Apply for earned leave only
3. Accumulation of leave should be avoided
4. Application of advance leave and no pay leave is discouraged
Signature
Date