No: UCL-HR-F-002

LEAVE APPLICATION FORM

Urban City Lahore
Version: 1.0

The following form will be used by all Job Grades for filing of Leave Application. Leave Application Form will not be applicable for
employees having access to ESS (Employee Self Service) portal of the HRIS.
‫ئ‬
EMPLOYEE INFORMATION (‫)ایم پ ال ی کی معلومات‬

‫ن‬ ‫ئ‬ ‫ئ‬

Employee Name (‫)ایم پ ال ی کا ام‬ Employee ID: (‫)ایم پ ال ی کا کوڈ‬
‫ن‬ ‫ٹن‬
Grade: (‫)گری ڈ‬ Designation: (‫)عہدہ‬ Department: (‫)ڈی پ ار م ٹ کا ام‬

‫ت ی‬ ‫چ ٹ‬ ‫ن‬ ‫چ ٹ‬ ‫تخ‬
Leave Days / Date (‫) ھ ی ک دن اور ار خ‬ Leave Type (‫) ھ ی کی وعی ت‬ Reason & Signature (‫)وج ہ اوردس ط‬
‫تف ق خ‬
‫ت ی‬ ‫ن‬ ‫چ ٹ‬ ☐ Casual Leave (Full) (‫)ا ا ی ر صت‬
From Date ((‫ھ ی پرج اے کی ار خ‬ ‫ن‬ ‫تف ق خ‬ ‫ن‬
☐ Casual Leave (Half) (‫)ا ا ی ر صت صف‬ Contact Number(‫ )راب طہ مب ر‬:
______ _______ ‫خ‬
☐ Sick Leave (Full) (‫)ب ی ماری کی ر صت‬
‫ن‬ ‫خ‬ *** Attach Medical Certificate for Sick Leave of

‫ت ی‬ ‫چ ٹ‬ ☐ Sick Leave (Half) (‫)ب ی ماری کی ر صت صف‬ more than 2 days.

To Date ( (‫ھ ی سے واپ سی کی ار خ‬ ‫خ‬ 2 ‫دن سے زیادہ کی بیماری کی چھٹی کے لیے‬
☐ Annual Leave (‫)ساالن ہ ر صت‬ ‫میڈ یکل سرٹیفکیٹ منسلک کریں۔‬
_____ _________ ☐ Compensatory Leave

No of Day(s) (‫)کل دن‬ _________________________

‫ت ی‬ ‫تخ‬
Signature & Date ۰(‫)دس ط اور ار خ‬

REVIEW & APPROVALS

Leave Casual Sick Annual Line Manager Departmental Head

‫چھٹی‬ ‫اتفاقی‬ ‫بیماری‬ ‫ساالنہ‬ ‫الئن مینیجر یا سپروٓازر‬ ‫ڈیپارٹمٹ ہیڈ‬
Total
☐ Approved (‫ ☐ )منظور‬Rejected (‫)نامنظور‬ ☐ Approved (‫ ☐ )منظور‬Rejected (‫)نامنظور‬
‫کل‬
Availed
‫حاصل شدہ‬ Comments__________________________ Comments____________________________
Balance
‫بقایہ‬ ___________________________________ _____________________________________

_____________________________________ ___________________________________ _____________________________________

______ Name, Signature & Date: Name, Signature & Date:
HR Officer Signature & Date:

Note: In case of Casual & Compensatory Leave, the Leave Application Form will be submitted to HRD at least 2 days prior or else
the leave (s) would not be entertained. In case of emergency/sick leave the applicant is required to submitted their said leave within
02 days after Joining Back to their Office/Job Location.