Leave Application Form

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TGS/HR/F008/R.

Leave Application Form


Annual / Sick / Emergency /
Special Leave

Date of Application: Received by HR /Admin on:

Received by Finance on:


Employee No: Employee Name:
Designation: Department: Date of Joining:

Type of Leave:
Reason For Leave:
From Date: To Date: No of Days: Resuming Date:
Leave Details:

Address During Leave:

Contact Tel No: (1) (2)

Applicant’s Signature: Approver’s Name & Signature: (Manager/


Supervisor)

Date:
Date:

For Personnel Department:

Accrued Leave: Leave Adjustments: Available Leave: Leave Granted:

HR & Admin Dept: HR & Admin Manager:

Date: Date:

MD / GM (For Grade M and above):

Note: Please submit the completed application at least 4 weeks prior to start date of your
leave in case of employee applying for annual leave.

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