| ABC COMPANY LTDCompany Address
LEAVE APPLICATION FORM
Date:_________
NAME:_________________________ Nature of Leave: Sick/Privilege/Casual
DESIGNATION:__________________ NO OF DAYS:_____ From_____ To_____
NAME OF SITE:__________________ REASONS FOR LEAVE:_______________
LEAVE ADDRESS:_______________
________________________________
________________________________
Recommendation of In –Charge
(Name &Designation) Signature of Left hand thumb impression of Employee
_______________________________________________________________________________
Detailed Particulars of Leave Comments/ Approval by Head office at credit of Employee
Signature of Personnel In –Charge
Leave entered in the employees Leave Record.
Signature of dealing Assistant.
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