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Leave Application Form Template

This document is a leave application form for an employee to request time off from work. The form collects information such as the employee's name and department, the requested leave period and number of days, the purpose and type of leave being taken, and requires signatures from the applicant and approvals from HR and the head of department. Notes at the bottom provide additional context on sick leave requirements and how leave is earned and approved according to company policy.

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Girish Narayanan
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© Attribution Non-Commercial (BY-NC)
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97 views1 page

Leave Application Form Template

This document is a leave application form for an employee to request time off from work. The form collects information such as the employee's name and department, the requested leave period and number of days, the purpose and type of leave being taken, and requires signatures from the applicant and approvals from HR and the head of department. Notes at the bottom provide additional context on sick leave requirements and how leave is earned and approved according to company policy.

Uploaded by

Girish Narayanan
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Company Name & Logo LEAVE APPLICATION FORM

Name of the Employee Designation / Department Leave Period No. Of Days Purpose of Leave : ______________________________________ : ______________________________________ : From ________________ To ______________ : ______________________________________ : ______________________________________ : ______________________________________ Nature of Leave: (Tick where applicable): Casual Leave (CL) / Earned Leave (EL)/LOP

Date of Application
LEAVES AVAILABILITY CASUAL LEAVE SICK LEAVE

Signature of Applicant

EARNED LEAVE

HR DEPT APPROVED / REJECTED (If REJECTED STATE REASONS)

HOD WHETHER COMMUNICATED TO THE EMPLOYEE HR DEPT

Notes: Sick leave if taken more than 3 continuous days would have to be supported by doctor's certificate. Leave would be earned on a per month basis. Leave sanction would be given on the basis of the number of leaves credited while applying for leave. For further details please refer to the Leave Policy

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