Leave Application Format

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COMPANY NAME

Leave Application Form


Date: _______________
Employee Name: ____________________________
Designation

Employee No: ____________

: ______________________________

Department: _______________________

Location: _________________

Request for Leave: Privilege Leave / Sick Leave / Casual Leave


Period of Leave: From_______________ To________________ Days (

Reason for Leave: _______________________________________________________


Contact Address while on Leave: __________________________________________
_______________________________________________________________________
Contact No: ________________________
Employee who would take charge during Leave: ______________________________
Reason for not sanctioning Leave: _________________________________________

________________

______________________

Employee Signature

Department Head
Name:
Designation:

For HR Use Only


Leave Details
Available balance
Applied Leave
Balance

Privilege
Leave

Sick
Leave

Casual
leave

Signature(HR/Admin)

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