LEAVE APPLICATION FORM

Company Name Employee Name Designation

: : : Location : Emp Code :

Department / Project :

Type of Leave (Y/N) :

CL

SL

PL

LOP Against

C-OFF

From Date No. of days leave Reason for Leave

: : :

Contact Address while on leave :

Contact No.

: Date :

Signature of the Employee :

Mail (M) Approved Phone (P) Hardcopy (H) Sanctioning Authority : Signature : Designation : Date : Not Approved

For Office Use Only LEAVE DETAILS No. of days entitled No. of days availed No. of days in balance SL CL PL COFF LOP