BARAL CHEMICAL COMPANY LTD.

House # 8/A, Road # 7/A, Sector # 09, Uttara, , Dhaka-1230

Leave Application Form

Date : 25/06/2024

Name : Chanchal Sharma

Designation : Executive

Working Place : Kushtia Branch

From : 11/05/2024

To : 21/06/2024

Total Days : 42

Purpose of Leave : Tumour Operation (My Mother)

Chanchal

Signature Zone / Branch In charge

For Office Use Only

Yearly Leave : ............... Days.

Leave Allowed : ............... Days. Enjoyed Leave: .........42......... Days.

Leave Balance : ............... Days.

Extra Leave : ............... Days.

.....................………. …………….……………….
Recommended By Approved By
HR & Admin CEO (Chief Executive Officer)

Note: Sick leave will be allowed only in case of actual physical ailment or sickness
accompanied by medical certificate.