Leave Application Form

Details of Employee: Date:

Name: MD. AZIZUR RAHMAN Designation: OFFICE ASSISTANT

Phone Number: 01811 161312 Work Station: AMCP
Contact Person and Number on leave period:
Types of Leave: Please Tick the appropriate Box

Earn Leave Sick Leave Casual Leave

Comments: Write a detail explanation regarding the reasons for the leave Duration: period of leave

From

To

Joining

Days

Terms & Conditions: Please Read All This Terns and Conditions Carefully Before Applying

1. Each Employee is eligible to get maximum 15 days of Earn Leave,10 days Sick 06 days of casual Leave in a
calendar year.
2. For applying in this “Leave Application Form” an employee must have to complete the provision period.
3. For applying sick leave, Doctors recommendation is mandatory and informs Management before starting the leave.
4. For Earn Leave an employee must apply to Management before 07 days of leave starting period (No Consideration)
5. If the employee does not join after leave period at mentioned joining date without any valid reason all the leave period
will be considered as leave without pay.
6. Company Reserves all the rights to approve the leave as with pay or without pay by considering the individuals need:
circumstances and staff availability.

Signature of Applicant Signature of PM

Below part is for official use only (H/O)
Leave Status: After this Application
Comment: About the Proposed Leave
LEAVE WITH PAY

Types Prev. Bal This Form Remaining LEAVE WITHOUT PAY

Earn Leave
Sick Leave
Casual Leave
HR Team Supervisor DIRECTOR MANAGING DIRECTOR