LEAVE APPLICATION FORM

Date :
Name:   Employee ID : 000  
JOB TITLE :   DATE OF JOINING:  

DEPT/ BUSINESS UNIT: Accounts & Admin   LOCAL LEAVE: OVERSEAS:

CURRENT
TYPE OF LEAVE NO.OF DAYS FROM TO
STATUS

ANNUAL LEAVE
(Specify the leave balance in status column)

ANNUAL LEAVE ENCASHMENT FOR TICKET ONLY      

SICK LEAVE
(Specify the sick leave utilized for current year in status column) -  -  - 

COMPENSATORY LEAVE
(Specify the balance of leave earned in status column)      
ACCIDENT LEAVE      
MATERNITY LEAVE        
LEAVE WITHOUT PAY **  
  CONTACT DETAILS DURING LEAVE:

EMPLOYEE'S SIGNATURE & DATE ADDRESS:  

       
   
India
Mob:
  Ph :  
APPROVALS:        
COMPENSATORY LEAVE
(Specify the balance of leave earned in status column)

     
 
HOD'S SIGNATURE & DATE GM/ CEO's SIGNATURE & DATE

-------------------------------------------------- ----------------------------------------------------  
         

Note: RESUMPTION OF DUTY (To be completed upon resumption of duty for leave more than 5 days)
  
Date of Resumption :        
No. Of days overstayed :        
Reason for overstay :        
No. Of days overstayed with pay:      
No: of days overstayed without pay:
   
------------------------------------- ----------------------------------- --------------------------------------
EMPLOYEE'S SIGNATURE & HOD's SIGNATURE & GM/CEO's SIGNATURE &
DA
DATE
DATE TE  
   

  Recorded by: HR/Admin

   
  __________________________
Original : Payroll Unit SIGNATURE & DATE
Copy 1 : HR/Admin (Personal File)  
Copy 2 : Employee (to complete after resumption of duty.)  
*Leave Status details balance is given in the pay slip.  
** GM's approval is required for leave without pay and other exceptions.