LEAVE APPLICATION FORM

Name: Date:

Position:

Department: Employee No:

Please approve absence from work for

Reasons for absence:

I may be contacted at Mobile No:

Applicants Signature: ___________________

Annual Leave Comprehensive Leave

Public Holiday Absent Without Pay

Maternity Others, Please Specify

Note: Please submit this application to your Div/Dept Head 7 days in advance. You are not entitled to go
on leave until you receive an approved copy of this firm.

No. of Days No. of Days Leave No. of Days Leave Remarks

available Taken Balance

For Shree Electrical & Engineering Co.

Authorised.