Employee Leave Application Form
Employee Information
Name (Full Block) : Designation:
Department: Location:
Leave request for
Earned leave Casual Leave E.O.Sick Leave
Total Leave days : Duration From : To :
Reason for leave request
Recommendation of the Departments Head / Line Manager :
(along with suggested reliving arrangements)
Departmental Head /Line Managers S
For HR Use Only
Current Leave Status
Leave type Aggregate Leaves availed Leaves
outstanding during the applied for
leaves current Year No.(days)
credited No. (days)
as of 1st Jan
__ __) No.
Casual (days)
Sick
Earned
Maternity
E.O.Sick Leave
E.O Without Pay
Leave Approval
Your ______________________________ leave application dated ________________ for ___________
is approved .You may avail this leave from ________________________ to ______________________
Head of HR & Training
mployee Leave Application Form
Date: ____________________
E.O. Leave without pay
__________________
Applicants Signature
Departmental Head /Line Managers Signature
Remaining /
Outstanding
leaves No. (days)
_________________________
HR Manager
__ leave application dated ________________ for ______________No. days
ve from ________________________ to _______________________.
President /CEO