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vinunithyavinu
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3 views1 page

Leave Form

Uploaded by

vinunithyavinu
Copyright
© All Rights Reserved
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

Leave Application

Date:__________________

NAME:

EMPLOYEE NO.: JOINING DATE:

COMPANY BRANCH:

DESIGNATION:

CATEGORY:

□ Sick □ Unpaid Sick Leave □ Marriage Leave

□ Maternity □ Paternity □ Industrial Sickness

□ Haj □ Umra (Unpaid) □ Compensatory Off

□ Compassionate □ Emergency (Unpaid) □ Annual Leave


Leave Balance:
□ Advance Annual Leave

REMARKS:

NO. OF DAYS:

FROM: TO:

APPLICANT’S SIGNATURE: DATE:

DEPT MANAGER’S APPROVAL: DATE:

HOSPITAL MANAGER’S APPROVAL:

NOTE: ALL PAID SICK LEAVE TO BE ACCOMPANIED WITH A MEDICAL CERTIFICATE.

CMH/HR/FRM/013 rev.a Page 1 of 1

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