UTAH GROUP OF COMPANIES

Form No. 1981

Leave Application Form

Application Date: 06-Apr-2024

Name: Md. Zobayer Rahman Pranto Date of Joining: 01-Jan-2022

Designation: Assistant Merchandiser (7190) Department: Merchandising

Name of Accounts:
Leave Applied For: Casual Leave Sick Leave Leave without pay Maternity Leave
Earn Leave Hajj Leave Special Leave Off Day
( Please tick appropriate box )
Leave Applied from : 02-Apr-2024 To 02-Apr-2024 = 1 Day
Tuesday Tuesday
Reason for Leave : Due to Sickness.
Contact Address/ Phone # Tel- , Mob- 01705363661

Date: Signature of the Applicant

Leave Position
Sick Casual Other
Entitled 14 10
Availed 02 01
Balance 12 09
Approved
Actual Leave Due Till Date 03 02
Comments (if any)

Signature of HR Department Sig. of Immediate Supervisor Signature of Department Head

Approved by :
NB. 1. Collect information from HR Department before approval
2. Please attach medical certificates in case of sick leave

Cover Person
Name: Designation:

Signature of the Cover Person