Leave Application Form

Applicant : M.BALA ARUN Date: 15-07-23

Designation: GET Employee ID: 23004

Period of Leave applied From 04-08-23 To 04-08-23

YES
Type of Leave Applied
[25/06/23]

Privileged
Annual Leave Sick Leave EWLA LWP
Leave

Note:
1.All leaves are cumulated on pro rata monthly basis but can be utilised anytime as
per requirement.
2.Sick leave can be utilized from Annual leave if SL limit is over.
3.Privileged Leave can be utilised only after full Annual Leave is utilized.
4.EWLA (Extra Working Leave Adjustment on Holiday) can be utilised only if it is
certified and approved by Superior/Management. EWLA must be utilized within
six months.

Alternate Contact No to
contact you in case of 9176422726
emergency

Remarks (if Applicable): Allergies going for doctor consultation

HR Approval
Name:

Approval Signature Date:

Remarks:

Management Approval (If Applicable)

Name:

Approval Signature Date:

Remarks

For Office Use Only

Annual Leave Sick Leave Privileged Leave EWLA LWP

Total: