Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

MEDICAL TEACHING INSTITUTION

(Khyber Medical College/KTH/KCD)

LEAVE APPLICATION
No:

Dated:

Name:

Designation: Department:

To: Division/Deptt Head)

Subject:

Type of Leave: Earned Leave Sick leave Educational Leave

Casual Leave Sabbatical Leave Duty Leave

Maternity Leave

From: To: Total days:

Signature:

DIVISION/DEPARTMENT HEAD: Approved Disapproved

Comments:

Signature: Name: Date

DEPTT OF HUMAN RESOURCES:

Current annual Leave utilized: days Available leave days

Signature: Name: Date

DEAN/MEDICAL DIRECTOR/HOSPITAL DIRECTOR/NURSING DIRECTOR


(not necessary for Earned or Maternity leave or Sick leave, except for Prolonged sick leave)

Signature: Name: Date

Comments:

You might also like