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Yogurberry Y-Block DHA

Leave Application Form


Name: ______________________________

Emp. ID:____________________________

Designation: _________________________

Department: _________________________

Type of Leave
Annual

Medical

Casual

LWOP

If LFA Required
Period of Leave
From: ____________________
To: ____________________
Number of Leaves: ____________________

HR Section
Verified From Leave Yes
Balance
Signature

No

Address/Contact number while on leave


_________________________________________________________________________________
_________________________________________________________________________________

Employee Signatures: _____________________

Approval:

Leave Approved

Leave Not Approved

Line Manager (Name/Signature): ___________________________

Date: ________________

Department Head (Name/Signature): ________________________

Date: ________________

Head of HR (Name/Signature): ____________________________

Date: ________________

Any Additional Comments/remarks:


________________________________________________________________________________
________________________________________________________________________________

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