Head Office: House -3, Road-23/A, Gulshan-1, Dhaka 1212

Leave Application
Name : ID No.
Designation: Section Department
Status : Probation/Permanent
Type of Leave : Casual Sick Earned Special Maternity
Period of Leave : to Total Days
Rejoining Date :
Purpose of leave:
Address during leave:
Contact Number:

Signature of the Applicant

During the leave job responsibility will be performed by (If applicable).
Name :
Designation :
Section :
Signature :
Leave position for the year (To be filled in & signed by the HR)

Type of Leave Due Availed (Days) Balance

Casual
Sick
Earned
Special
Maternity

Comments (if any) :

Signature of HR Signature of Team Leader/Dept. Head/ Dept. In-charge

Signature of the Director