Leave Application Form

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LEAVE APPLICATION FORM

Name ________________________________________________________________

Designation_______________________ Department _________________________

Duration & Type of Leave Requested

No of Days From To Leave Balance

Earned Leave ____________ ________ _______ __________

Casual Leave ____________ ________ _______ __________

Sick Leave ____________ ________ ________ __________

Reasons: ___________________________________________________________

___________________________________________________________

Leave Address: ______________________________________________________

______________________________________________________

Signature: _______________ Date : ________________

Recommended / Not Recommended

Head of Dept
Signature: ___________________________ Date: ____________

APPROVED/NOT APPROVED
Signature: ___________________ Designation: ______________ Date: __________

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