Leave Application Form: Personal Particulars

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LEAVE APPLICATION FORM

Type of Leave :

Annual

No Pay

Marriage *

Maternity / Paternity *

Compassionate *

Special *

Sick

* submit documentary proof

Replacement Day

Personal Particulars:
Name :

Designation :

Department :

Period of Leave (indicate AM/PM for half day application):


From :

Signature

To :

No of Working Days

Date

Remaks

(Department Approval)

Leave Computation by HR & Admin Dept


Leave Carried Forward

days

Leave Entitlement for Current Year

days

Less Leave Taken for Current Year

days

Less Current Leave Applied

days

Leave Balance up to Year End

days

Approved / Not Approved

Signature

Notes:

Date

(Management Approval)
Approved / Not Approved

1. Aplication for leave (except compassionate) should be


submitted to HR & Admin Dept throught Head of Department at
least 1 week in advance
2. Apply for earned leave only
3. Accumulation of leave should be avoided
4. Application of advance leave and no pay leave is discouraged

Signature

Date

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