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  • Leave Req Note

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    Sai Krishna Health Center Banakal
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    A staff member at the Sai Krishna Health Centre submitted a leave request note to take time off from work. The note requires the staff member to provide their name, department, dates of leave requested, number of days requested, number of days already taken in the current month, reason for leave, signature of department head or backup, and emergency contact information. By signing, the staff member acknowledges sole responsibility for their safety and any personal issues during the requested leave dates. The manager must also sign to approve the leave request.

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    A staff member at the Sai Krishna Health Centre submitted a leave request note to take time off from work. The note requires the staff member to provide their name, department, dates of leave requested, number of days requested, number of days already taken in the current month, reason for leave, signature of department head or backup, and emergency contact information. By signing, the staff member acknowledges sole responsibility for their safety and any personal issues during the requested leave dates. The manager must also sign to approve the leave request.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    12 views1 page

    Leave Req Note

    Uploaded by

    Sai Krishna Health Center Banakal
    A staff member at the Sai Krishna Health Centre submitted a leave request note to take time off from work. The note requires the staff member to provide their name, department, dates of leave requested, number of days requested, number of days already taken in the current month, reason for leave, signature of department head or backup, and emergency contact information. By signing, the staff member acknowledges sole responsibility for their safety and any personal issues during the requested leave dates. The manager must also sign to approve the leave request.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Sai Krishna Health Centre

    Mathikatte Road Banakal


    Leave Request Note
    Date:
    Staff Name : ___________________________
    Department : ___________________________
    Date of Leave from to : ___________________________
    No of days Leave required : ___________________________
    No of days leave applied in current month: ___________________________
    Reason for Leave : ___________________________
    Department Head/ backup Sign: _____________________________
    Emergency Contact Number /Contact person: ___________________________________

    “Staff is sole responsible outside the Hospital for his/her own safety and all the personal issues on the
    above-mentioned dates/leave.”

    Staff Signature: ____________________ Manager Sign: _______________

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