EMPLOYEE ID #

LEAVE APPLICATION FORM

Name -------------------------------------------------------- Designation --------------------------------------------------------

Department--------------------------Unit (Per Salary Sheet) ------------------Location/ Place of Duty -----------------

Leave required: CL ML EL for -------------- Days from / on ------------------ To ------------------------

Reasons -------------------------------------------------------------------------------------------------------------------------------
Address while on Leave ----------------------------------------------
------------------------------------------------------------------------------ Signature of the
Applicant (with date)
Contact Phone No: ---------------------------------------------------
CL (Days) as on ML (Days) as on EL (Days) as on
LEAVE
POSITION As Credit
(To be filled in
This Application
by Admin & HR Authorized
Dept.) Balance Signature

Recommended Not Recommended Approved Not Approved

(Signature) (Signature) (Signature) (Signature)
Section Head NOT APPLICABLE NOT APPLICABLE

Special Remarks
Department Head NOT APPLICABLE NOT APPLICABLE

Chairman/Concerned NOT APPLICABLE NOT APPLICABLE

Authority

LEAVE PASS (To be filled in by Admin & H.R.Dept).

Address: Name:
PPARTE
45, Navana Tower, 7th Floor Designation: Department:
Gulshan – 1, Dhaka-1212.
Your CL/ML/EL of--------------------- days/day w.e.f--------------------------
to-----------------------has been/not been granted for reason of----------
------------------------- You will join on ------------------------------------------

UNIT (Working):-------------- Signature

Administration Department