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Company Name and Address Here

Application for Leave


Employee Name Employee Code Department. Type of leave requested : : : : casual Sick Others

Date of Leave Total Number of Days: Reason for Application

: From

To

You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent and please attach supportive document for sick leave.

Date:

Signature:

Manager Approval
Approved Rejected Comments:

Date:

Manager Signature:

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