LEAVE APPLICATION FORM
Name: ______________ Date: _____________
Leave Dates: ____________ Recommencement on: ____________
Total number of leaves: ___________
Reason for leave: _________________________________
Leave Type: (tick one): Privilege (18 days) Casual (6 days) Sick (6 days) Other
Number of days availed per month: _______ Number of days availed per year: _________
Mr./Ms. ______________________________ will manage my responsibilities/tasks during my absence.
Applicant's Signature: ____________
Approved by ___________ Without pay/With pay: ____________
Type of leave approved: ____________________
From India, Kochi
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Name: ______________ Date: _____________
Leave Dates: ____________ Recommencement on: ____________
Total number of leaves: ___________
Reason for leave: _________________________________
Leave Type: (tick one): Privilege (18 days) Casual (6 days) Sick (6 days) Other
Number of days availed per month: _______ Number of days availed per year: _________
Mr./Ms. ______________________________ will manage my responsibilities/tasks during my absence.
Applicant's Signature: ____________
Approved by ___________ Without pay/With pay: ____________
Type of leave approved: ____________________
From India, Kochi
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Leave application form.doc
Leave Application Form.xls