Wa0006.

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LEAVE FORM

Name Date

Designation Signature

Contact No

Type of Leave/ Numbers of day; Period


Annual Leave

Marriage Leave FROM TO

Casual Leave Day Date Day Date

Medical Leave

Maternity Leave

Paternity Leave

No of Days ____________

Resumption Date _______________________

Leave Record;

Number of days Previous Leave


Balance To
Description entitled for This Leave Applied
Date
Leave
Annual Leave
Compassionate Leave
Maternity/ Paternity Leave
Marriage Leave
Medical Leave
Casual Leave

Departmental Approval Approval by HR Unit

NAME

DESIGNATION

SIGNATURE

DATE

Construction Manager Approval

Name:

Date:

Signature

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