LEAVE REQUEST FORM

Date: 28th NOV 2017 No. CITY / HRD

Department: Elevators Section: Maintenance Position: Sr. Field Engineer

Employee name: Habibulla Bavaji

Leave period / duration:
Employee ID No. 28035657373
Year:
Leave type (Ticket Applicable)
Starting date: 04th DEC 2017
Vacation Emergency HAJ/Umrah Ending date: 19th DEC 2017
No of days: 15 DAYS
Sick W/O Pay Other
Date of exit: 03rd DEC 2017

Address while on leave (Full Address): Door # 37, 22nd A Main Road, Muthyala Nagar, Mathikere Bangalore
pin code 560054
Contact No. 0091- 9741312730,
Reliever’s Name:

Reliever’s Signature:

I UNDERSTAND THAT IF I DO NOT RETURN ON THE SPECIFIED DATE I WILL NOT BE ELGIBLE FOR THE BONUS
AND GRATUITY FOR THE SPECIFIED YEAR.

Employee Direct Reporting Head Manager - HR: Manager - FOD

Date: Date: Date: Date:

For office use only Leave entitlement as per contract

Date Joined Days salary upon completion of

Date of departure (last vacation) Month

Date of resumed (last Vacation):

No. of months completed:

Accounts Department Use Only

It has been approved to grant the above named

Employee,

leave for a period of days with effect

from
Approved by:
/ / to / / . Managing Partner

Please Arrange: Leave settlement

Exit Permit