Brand & Mark

Leave Application Form

Personal Particulars

1. Name……………………………… Employment Code……………………

2. Department………………………………Designation……………………

3. I’m applying for …………days. From………….to…………………….

4. Type of Leave,
Annual/Emergency/Maternity/Study…………………………………...

5. My Address while I’m away…………………………………………………….

Phone Number…………………….

Signature………………...Date…………….

6. Head of Department comment/Signature:

…………………………………………………………………………………
…………………………………………………………………………………
…………………………………………………………………………………

Approved/Not Approved
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………

Designation of Authorized Person……………………

Signature……………. Date ……………...