Leave Application

Name: _______________________________________________________________

Designation: __________________________________________________________

Function: _____________________________________________________________

Type of Leave: ________________________________________________________

No. of Days: ________ From: __________________ To: __________________

Reason for availing leave: ________________________________________________

_____________________________________________________________________

Signature of Employee:

Signature of Manager: ______________________________ Approved/Not Approved

In case you are going outstation, contact address/telephone no.:

_____________________________________________

_____________________________________________
_____________________________________________

For use of HR

_______ day/s ____________ leave approved from ____________ to ______________.

Signature of HR Representative:

Date: ___________________