MANGALAYATAN UNIVERSITY

EMPLOYEE LEAVE APPLICATION

1.Name of the Employee: __________________________________ 2.MU Code:_______

3. Designation: _________________________ 4. Department:

_____________________

5. Leave Applied From ______________ To ________________ 6. No. of Days:________

7.Type of Leave: ____________________ (Please mention Casual, Earned, Medical etc.)

8.Brief reason for leave: ____________________________________________________

Signature of Applicant Assignment has been entrusted by

___________________ Name & MU code: ___________________

Date:______________ Signature:___________________

Description of Assignment/Duty:
_________________________________________________________________

_________________________________________________________________

Sanctioned / Not Sanctioned Sanctioned / Not Sanctioned

___________________________ ___________________________
Signature of H.O.D Signature of Director/Dean/Registrar
Date: ____________ Date: ____________

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For Office Use Only:

1. Leaves existing: __________ 2. Debited: _______ (Days) 3. Updated By:____________

4. Remarks (if any): __________________________________________________

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