Franchisee of :

LEAVE APPLICATION FORM

Name:- ............,

Designation:- .......

Department:- .......,

Card/Empl No:- ......

Branch:- ......,

Purpose of leave:- .

....................................................................................

Leave Required
Type of Leave

From

To

No of
days

Leave already
availed
(Office use)

Balance/Due
(Office Use)

Remarks

Earned Leave
Casual Leave
Medical Leave
Short/Halfday Leave
Compensatory Off
Date:

Applicants Signature : ...............

Recommended by.

Remarks: .

# LEAVE SANCTIONED/LEAVE SANCTIONED WITHOUT PAY/NOT SANCTIONED

..
Director

Note:1.

Earned Leave: Must be applied for and got sanctioned at least 10 days prior to actually availing the same. Application for
Earned Leave for less than 2 days will not be accepted.

2.

Casual Leave : Every employee must proceed on leave only with prior permission and sanction. No leave application will be
accepted after availing the same but in special cases like accident, it can be accepted for more than 2 days casual leaves at a
time.

3.

Sick Leave: In case of sickness, the information must reach in the office within a day from the fall of sickness. A certificate
from a Registered Medical Practitioner must be submitted if Sick Leave is availed for 2 or more days. The office however
reserves the right of demanding the same in shorter period sick leave also.