Leave Application Form                                                                                       Form HR - I
SECTION - I                                                                                  For Applicant
                •      Staff Name:                                                                                                 •     Staff No.:
                •      Designation:                                                                                                •     Date:
                •      Dept. / Section:                                                                                            •     Date of Return to Work:
                •      Period of Leave:                         From              ______________ To                              _______________            Total Days:
                                                                                  (first date of leave)                          (last date of leave)
                •      Type of Leave:                          Earned                            Casual                                  Sick                             Un-paid
                       Applied:
                •      Reason of Leave:
                •      Responsible Person in my Absence:
                •      Applicant Signature:                                                                                                         Date:
                       Contacts during leave:
                                  Address:                                                                                                        Email:
                                                                                                                                                  Phone:
                •      Clearance from Manager / Incharge if any other assignment is in hand:
                       Manager:                                                                                                                 Date:
                    SECTION -II                                                                           Current Leave Balance
                       Entitlement of leave as on:                                                                               Employee Date of Joining:________________
                       Earned Leave (Un-paid / Un-availed) :
                       Casual Leave (for the year):
                       Sick Leave (for the year):
                       Comments:
                                                                                                                                                                   HR Department
                    SECTION -III                                                             For Recommendations & Approval
                       Type of Leave:                          Earned                            Casual                                  Sick                             Un-paid
                       Approved:
                       Period of Leave:                         From                                             To                                         Total Days: _________
                       Approved:
                                                          (first date of leave)                           (last date of leave)
                       Recommended By:                                                                                                                      Approved By:
                       _____________________________
                       Line Manager / Reporting Officer                                                                                                     RM / GM / TL
                       Date: _________________________                                                                                                      Date: _______________________
           Note:       i)Management reserves the right to call any employee on job in case of emergency.
                     ii) All Department Heads and General Manager (OPS) will get earned leave approval from MD.
file:///conversion/tmp/scratch/474833008.xlsx