SSGC/HR/02 LEAVE APPLICATION FORM

Company Name:
E. Code: Branch:
Name:
Designation: Dept.:
Leave Requested on from To No. of days:
In case of half day, mention: 1st half/ 2nd half on
Leave Type: CL/EL/SL/LOP/ESI/C.OFF (Tick ( ) whichever is applicable)
Reason for leave:

Contact address during leave period:

Phone No. Email ID:

Date: Signature
Note: Leave Application should be submitted within 2 days
from The Leave availed.
Recommended / Not Recommended HR Department
If not recommended give reasons:
Received on:
Entered on:
Reporting to Dept. - HOD
H.O.D.
ACKNOWLEDGEMENT FOR APPLICANT
To,
Mr./Mrs. your leave
from To has been granted/ Rejected.

H.R. Department.