You are on page 1of 1

APPLICATION FOR LEAVE PART A (To be completed by Applicant) Name: SHAFIQUL ISLAM ID: 011009 Dept: CP & A

Designation: Assistant Manager, HR (Please tick in the appropriate box) Leave type: Annual: Casual/Sick:

Maternity: Days Applied for: 01

Leave: From 30.05.2011

to 30.05.2011

Please state reason for taking leave: Family Emergency

Emergency Contract Address Signature of the Applicant: PART B (To be completed by the Human Resources) Leave Type Annual Casual Sick Eligibility of Maternity Leave: Yes No Manager/Assistant ManagerHR PART C (To be completed by Line & Function) Leave Approved: Not Approved: [ ] Available Leave Leave Applied Leave due Application Date:

Signature of Supervisor Date:

Authorized by: Managing Director Date:

You might also like