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Employee Leave Application Form

This document is a leave application form for employees of a company. It collects information such as the applicant's name, employee ID, department, type of leave requested, dates of leave, contact information during leave, and signatures of approval from supervisors. It also provides the applicant's current leave balances and policies regarding taking leave, such as requiring advance notice or a doctor's note for certain leave types.

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sunny rahman
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184 views1 page

Employee Leave Application Form

This document is a leave application form for employees of a company. It collects information such as the applicant's name, employee ID, department, type of leave requested, dates of leave, contact information during leave, and signatures of approval from supervisors. It also provides the applicant's current leave balances and policies regarding taking leave, such as requiring advance notice or a doctor's note for certain leave types.

Uploaded by

sunny rahman
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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HRD form

Revised on: 31.12.2018


Version: 2.1 529/1 Kazla, Motihar, Rajshahi-6204

Leave Application Form


To be filled by the applicant

Applicant’s Name: Emp. ID: Application Date:

Designation: Department:

Employee Category:  Permanent  Probation  Contractual


Leave Duration: Leave type: (Put Tick)
 Casual  Earned  Medical/Sick
From ___________________ to ___________________
 Maternity/Paternity  Study  Duty (subject to
Total Day(s):_______________________________ prior approval)
Purpose: Contact Address (During leave time):

Phone:

To whom the duty incumbent upon (during the applicant's absenteeism):

Name: ________________________________ Designation: ______________________ Sign: _________________

Applicant’s Signature: _________________________________________ Date: __________________________

To be filled by HR Office
Last Leave Enjoyed:
Date: Leave type: (Put Tick) Reason:
From ________________ to _____________
 Casual  Earned  Medical/Sick
Total Day(s):___________________  Maternity/Paternity  Study  Duty

Current Leave Position: Provided by HR Office


Signature of HR
Leave Type Total Leave Availed Balance
Casual
Earned
Medical/Sick
Study Leave
Others

Leave Recommended by: (Immediate superior)

Name: ______________________________ Designation: _____________________ Sign: ___________________


Leave Approved by:

Name: ______________________________ Designation: ___________________ Sign: ___________________


N.B.: 1. Taking 'French Leave' i.e., take time away from one's job without asking for permission is officially not allowed. However,
let the office know (mandatory) in case of an emergency issue.
2. Casual Leave can be enjoyed for maximum 3 (three) days at a stretch.
3. In case of Casual/Earned Leave, the applicant must submit his/her leave-application 03 (three) days in advance.
4. In case of Medical/Sick Leave a registered doctor’s certification is required.
5. During his/her leave time, employees can be summoned on exigency by the authority.
6. Upon approval of his/her leave, the applicant must inform to all employees about his/her time off from work through an
e-mail.

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