LEAVE APPLICATION FORM

(Please submit the Leave Application Form to your Supervisor or Team Leader/ Head of
Department/ Division/ Operations Director/ Executive Director/ Managing Director at least
seven working days prior to the date of the planned leave)

Name

Date Joined

2-09-2014

I would like to apply leave on the following day(s):

From
4-03-2016

To
4-03-2016

No Of Day(s)
1

Nature Of Leave
AL

Please indicate the nature of leave applied i.e. Annual (AL)/ Compassionate (CL)/ Emergency
(EL)/ Examination/ Marriage/ Maternity/ Paternity/ Unpaid/ Unrecorded Etc. Please provide
supporting documents if you are applying for Examination/ Marriage/ Maternity/ Paternity
Leave. Please submit Reason For Emergency Leave Form if you are applying for Emergency
Leave.

Applicants Signature: ____________________________

Recommended/ Not Recommended
(Supervisor)

Signature: _______________________
Date: _______________
Comments (if any)
________________________________
________________________________
________________________________

Date:

Approved/ Not Approved

(Team Leader/ Head of Department/ Division/
Operations Director, Executive Director, Managing
Director)

Signature: ____________________________________
Date: _______________
Comments (if any)
_____________________________________________
_____________________________________________
_____________________________________________