Name of company
Works: Plot No. 2..Gurgaon (Haryana)
LEAVE APPLICATION FORM
To The General Manager, ..
Sub: Application for Leave
Name Ashok Kumar Jangra Department HR & Admin Type of leave: Casual /Sick / Earned Leave / Compensatory
Date .. Sir,
Pay Code P1692..Card No3421
From From From From From From Leave Schedule .to . .to . .to . .to . .to . .to .
Total No. of leave
Day
Contact Number
Reason: Address during leave (Application Signature) (Recommended By) (Approved By)
Further I understand that the leave applied is subject to the sanction of Employer and Otherwise, it can be treated as an absent .Also I confirm that if I overstay over and above the Sanctioned period without proper information to you I will automatically loose the lien on My job. Totally on my responsibility. Yours faithfully (Signature of Employee) To be field in officer Leave Entitlement EL 10 CL 07 SL 07 Leave availed Nill 1 Day 1 Day Balance 10 Days 6 Days 6 Days
Signature