Staff Leave Application Form

Date:

Name & No.: _______________________ Joining Date: __________

Dept. /Title: ______________________________

Date of Last Leave: ___________ Date of Last Resume: _________

I apply for leave as hereunder:

Type of Leave: Annual Emergency Casual Sick

Number of Leave Days: ____________

Starting Date: ____________ Resumption Date: ___________

Contact Address: ______________________________

______________________________

Signature of Applicant: ____________________________________________________________

Managers Comments/Approval: ____________________________________________

________________________________________________________________________________

cc: personal file/adm.

cc accounts dept.