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02-Leave Application Form

The document is a Leave Application Form for HR/Admin use, detailing the process for employees to request various types of leave. It includes sections for personal information, leave details, recommendations, and approvals from supervisors and departmental heads. Additionally, it outlines the need for a medical certificate for sick leave exceeding three days and instructions for submission at the gate office upon departure.

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klaus9064
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5 views1 page

02-Leave Application Form

The document is a Leave Application Form for HR/Admin use, detailing the process for employees to request various types of leave. It includes sections for personal information, leave details, recommendations, and approvals from supervisors and departmental heads. Additionally, it outlines the need for a medical certificate for sick leave exceeding three days and instructions for submission at the gate office upon departure.

Uploaded by

klaus9064
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

HR/ADMIN DEPARTMENT

LEAVE APPLICATION FORM


Document No Issue Status Issue Date Next Revision
QMF/HR/002 02 15-Oct-22 14-Oct-25

Name: Designation: E.C. No.:

Department:- Section:

Leave Requested:
1. Date (For Short Leave & Half Day) 2. Date (For one or more than one day)
For: Hours From: To: For: Day(s) From : To:

Type of Leave: Casual Medical Annual Privilege

Reason for leave:


Address during leave:
Phone #.
Applicant's Signature: Date: Cell #.

(For HRD/Admin. Use Only)

(For Workers / Supervisors Only) (For Manager / Officers Only)


Type of Leave Entitlement Availed Balance Type of Leave Entitlement Availed Balance
CASUAL CASUAL
SICK SICK
ANNUAL ANNUAL
PRIVILEGE PRIVILEGE

RECOMMENDATION
Recommended Not Recommended Short leave from:________ To _________ for hr________
For _______ Day(s) From:_________ To:__________
With Pay Without Pay
Supervisor/Officers Departmental Head

APPROVAL
Approved Not Approved Short leave from:________ To _________ for hr________
For _______ Day(s) From:_________ To:__________
With Pay Without Pay
Signature Date:

FOR APPLICANT'S INFORMATION


Name:
Designation: E.C. No.

Approved Not Approved Short leave from:________ To _________ for hr________


With Pay Without Pay For _______ Day(s) From:_________ To:__________
Leave Balance SL_____ CL_____ PL_____
Annual_______ Signature Date:
Note: 1- Please attach Medical Certificate in case of Sick leave more than three days.
2- Applicant must submit this portion to the gate office at the time of departure.

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