Leave Application Form-2

Employee Leave Application Form

Employee Information Name (Full Block) :

Designation:

Department:

Location:

Leave request for Earned leave Total Leave days :

Casual Leave

E.O.Sick Leave

Duration From :

To :

Reason for leave request

Recommendation of the Departments Head / Line Manager : (along with suggested reliving arrangements)

Departmental Head /Line Managers S For HR Use Only Current Leave Status Leave type

Casual Sick Earned Maternity E.O.Sick Leave E.O Without Pay

Aggregate Leaves availed outstanding during the leaves current Year credited No. (days) as of 1st Jan __ __) No. (days)

Leaves applied for No.(days)

Leave Approval

Your ______________________________ leave application dated ________________ for ___________

is approved .You may avail this leave from ________________________ to ______________________

Head of HR & Training

mployee Leave Application Form Date: ____________________

E.O. Leave without pay

__________________ Applicants Signature

Departmental Head /Line Managers Signature

Remaining / Outstanding leaves No. (days)

_________________________ HR Manager

__ leave application dated ________________ for ______________No. days

ve from ________________________ to _______________________.

President /CEO