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This leave application form contains fields for an employee to submit a request for privilege leave, sick leave, or casual leave. The employee provides their name, employee number, designation, department, location, requested leave dates and type, reason for leave, contact information while on leave, and emergency contact number. Space is included for the employee's signature, their reporting officer's signature and approval, and for HR/Admin to sign off on leave balances and details.

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Alisha Zaidi
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160 views1 page

Co Name

This leave application form contains fields for an employee to submit a request for privilege leave, sick leave, or casual leave. The employee provides their name, employee number, designation, department, location, requested leave dates and type, reason for leave, contact information while on leave, and emergency contact number. Space is included for the employee's signature, their reporting officer's signature and approval, and for HR/Admin to sign off on leave balances and details.

Uploaded by

Alisha Zaidi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Co Name

Leave Application Form

Date: _______________

Employee Name: ____________________________ Employee No: ____________

Designation : ______________________________ Grade: __________________

Department: _______________________ Location: _________________

Request for Leave: Privilege Leave / Sick Leave / Casual Leave

Period of Leave: From _____________________ To___________________________

Reason for Leave: _______________________________________________________

Contact Address while on Leave: __________________________________________


_______________________________________________________________________

Contact No: ________________________

Employee who would take charge during Leave: ______________________________

Reason for not sanctioning Leave: _________________________________________

________________ ______________________

Employee Signature Reporting Officer Signature


Name:
Designation:
Leave Details Privilege Sick Casual Signature(HR/Admin)
Leave Leave leave
Leave Balance
(by HR/Admin)

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