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EL Form

This document is an application form for employees requesting leave or an extension of leave. It collects information such as the employee's code number, name, position, contact details, current pay and allowances, type and period of leave being requested, proposed weekends or holidays to be added to the leave, reason for leave, details of previous leave, plans to use LTC travel benefits, and address during leave period. Supervisors are asked to provide recommendations on the application.

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Nikhil Velayudhan
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© © All Rights Reserved
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9K views1 page

EL Form

This document is an application form for employees requesting leave or an extension of leave. It collects information such as the employee's code number, name, position, contact details, current pay and allowances, type and period of leave being requested, proposed weekends or holidays to be added to the leave, reason for leave, details of previous leave, plans to use LTC travel benefits, and address during leave period. Supervisors are asked to provide recommendations on the application.

Uploaded by

Nikhil Velayudhan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR LEAVE OR FOR EXTENSION OF LEAVE

1.

EMPLOYEE CODE NO.

2.

NAME OF APPLICANT

3.

POST HELD

4.

SECTION/DIVISION

5.

INTERCOM/TELEPHONE NO.

6.

BASIC PAY

7.

HOUSE RENT AND OTHER COMPENSATORY


ALLOWANCES DRAWN IN THE PRESENT POST:

8.

NATURE OF LEAVE

9.

PERIOD OF LEAVE APPLIED


FROM
TO

:
:

SATURDAY, SUNDAY & HOLIDAY, IF ANY


PROPOSED TO BE PREFIXED / SUFFIXED
TO LEAVE

10.

11.

GROUND ON WHICH LEAVE IS APPLIED FOR :

12.

DATE OF RETURN FROM LAST LEAVE & THE


NATURE AND PERIOD OF THAT LEAVE
:

13.

I PROPOSE/ DO NOT PROPOSE TO AVAIL


L.T.C. FOR THE BLOCK YEAR FOR MYSELF

ADDRESS DURING LEAVE PERIOD

14.

Recommendation of immediate Superior

Signature
Name:
Designation:

Signature
Name:
Designation:

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