LEAVE APPLICATION FORM

1. Name of the Employee : …………………………………………………………………………………….

2. Employee Code :……………………………………………………………………………………..

3. Employee’s Designation :………………………………………………………………………………………

4. Period of Leave : From To

DD MM YY DD MM YY

5. Date of Reporting :…………../…………../……………… Time :……………………pm/am

6. Contact Address with contact number during leave :

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7. Reason of Leave :

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8. Signature of Employee:……………………………………………………..Date :……………………………

9. Recommendation Authority :……………………………………………………………………………………

10. Approving Authority :……………………………………………………………………………………