LEAVE REQUISITION FORM

Address during leave :

Emp. Code: Application Date: 03/04/2023

Name: Abhijith Raj

Location: Bangalore

From: 03/04/2023 To: 03/04/2023 Contact Phone No. : 8848483224

Leave
Nature of leave () No. of days: 1 days
CL
Reason for leave: . Personal

Signature of the employee

Signature of the recommending authority Signature of the sanctioning authority

FOR OFFICE USE
Leave
OPENING BALANCE
APPLIED
SANCTIONED
CLOSING BALANCE