Leave Encashment Form

Name : __________________________

Designation : __________________________

Location : __________________________

Period of EL for encashment : __________________________

E L earned till 31-12-2010 : _________________________

E L availed : ____________________________

E L surrendered : ___________________________

Balance : ___________________________

Present Salary : __________________________

I request you to kindly accept my E L for encashment.

Date:

Signature of the Employee

H R Remarks :

Accounts Remarks :

Approved by :

Paid by