LEAVE APPLICATION FORM
DATE:
EMPLOYEE'S INFORMATION
Name:
Job Tilte:
Visa status:
Dept:/Division:
Employee Code: Contact No:
Signature of
Replacement: Mr: Reliever:
TYPE OF LEAVE REQUESTED
Annual Leave Short Leave
Medical Leave Maternity Leave
Emergency Leave Pilgrimage Leave ( Omrah/ Hujj)
LEAVE DETAILS
Leave Requested for: Days: Address and Contact details during the Leave period:
Leave Starting Date:
Leave Ending Date: Address :
Re-joining Date:
Contact No:
For Office use only
Date of Joining: Last Leave Requested for: Days:
Total Leave as on Date: Last Leave Start Date:
Total Leave Availed: Last Leave End Date:
Balance Leave Available: Last Leave Rejoining Date:
COMMENTS - IF ANY (Official Use only )
Approved No. Of Days Approved : Exit permit Approval:
Denied Reason :
SIGNATURES
Employee Project Engineer Finance Manager H.R. Manager Director-Projects General Manager/ Directors