SYAMA DYNAMIC ENGINEERING PVT LTD SDEPL/P&A/LAF/FORM: 05

Leave Application Form

Date:

Name of the Employee :

Employee No : Designation:

Site/Department :

Leave required from :

Type of leave : Sick Leave / Earned Leave / Restricted Holiday / Casual Leave (Please tick)

Leave Balance : SL EL RH CL

Purpose of Leave :

Work will be resumed on :

Phone No. to contact during leave :

___________________

(Employee Signature)

Recommendation of Site In Charge / Department Head

I recommend that leave be granted to this employee for ________________ days from _________________ to ________________

Name: _____________________________________________ Signature: _________________________

For the use of HR Department

Application received on : _____________________________ Leave Approved: Yes/No

Approved from : ____________________ to __________________ No. of days: _______________

Approved By: __________________________

(HOD)

(Note: Employee opting for leave more than 6 days have to send their leave application 15 days prior and can only proceed on leave if the leave is sanctioned by HR
Department)