LEAVE APPLICATION FORM
Date: ______________
EMP. No. ________Name: _________________________________ Phone ______________
Designation: _____________________ Date of Join: _____________ Dept: ______________
Leave Requested from: _________________ To: ________________
Total No. of days leave requested: ________________ Type of leave _______________________
Last full day at work before leave: ________________ First day back at work: ________________
FROM TO DATE REMARKS
Home country contact No: 1. _______________________
2. _______________________ Signature: ______________________
Second step
TO BE COMPLETED BY PERSONNEL DEPT.
PREVIOUS LEAVE RECORD
1. From: ___________ To: ____________ Taken: w/p _____without/p_____ Type: ___________
2. From: ___________ To: ____________ Taken: w/p _____without/p_____ Type: ___________
3. From: ___________ To: ____________ Taken: w/p _____without/p_____ Type: ___________
Ticket due on: _____________________ Eligible leave days: __________________
Remarks: ______________________________________________________________________
______________________________________________________________________________
Third step
TO BE APPROVED BY SITE:- MANAGER / ENGINEER / SUPERVISOR / FOREMAN
1. Name: _____________________________
2. Signature: __________________________
3. Remarks: ___________________________________________________________________