You are on page 1of 1

Corporate Office: House # 25, Road # 34, Gulshan # 02, Dhaka - 1212.

Leave Request Form

Employee/Face ID No : 9997124 Date : 24-11-2019

Name : Atiqur Rahman

Company : Ahmed Amin Group

Position : QC Manager Department : BEL(Block)

Nature of Leave : (Please Mark ) : Annual Casual ✔ Sick Late Adjustment

From : 21.11.2019 To : 21.11.2019 ( 01 ) Day(s)

Justification : Sick Leave

Leave Address : Dhaka

Permanent Address :

Emergency Contact Number :

Contact Number : 01798599678 Length of Service :

Leave Without Pay/Absence : Leave Availed (Paid) :

Applicant’s Signature Signature


Head of Human Resource Department

Departmental Approval Approved By


Head of the Department’s Chairman/Managing Director/
Supervisor or Manager Director (Admin)

You might also like