INDUSTRIAL INSPECTION & TESTING SERVICES (IITS)

House # 18, Road # 3, Sector # 4, Uttara, Dhaka-1230

Contact: +880-1967-700721-22/+880-1746-695315
E-mail: info@iitsbd.com/sirajul@iitsbd.com
LEAVE APPLICATION FORM
Employee Name: Department:
Designation: Supervisor Employment Number:
Reason for Requested Leave
 Sick
 Annual
* Emergency
* Casual
* Bereavement
* Maternity
* Paternity
* Unpaid Leave
* Other
Date Requested:
Leave From: To:
Number of Leave Days:
Employee’s Signatures:
Site In charge/Supervisor Approval:
* Approved
* Rejected
Site In charge/Supervisor Signature:
Date:
For office use only

Leave from:

sanctioned/not sanctioned with pay/without pay or as admissible

Sanctioning Authority

Important Comments:

Copy:
 Personal File
 Accounts Dept.