Leave Application
2
LEAVE APPLICATION FORM Date: Employee Name: Employee Code: Department: Number of days of leave requested for Number of Days: From: To: If half day Morning: Afternoon: Reason for requesting leave: Contact Address during leave period: Phone Number: Signature of Employee and Date: Leave sanctioned as follows (To be filled in by Supervisor) No leave sanctioned: Reason for not sanctioning leave: Supervisor’s Signature and Date Department Head’s Signature and Date Leave adjusted against Balance (For HR and Finance) Leave without pay (to be adjusted in payroll): Human Resource Representative and date Finance Representative and date (if LWP)
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LEAVE APPLICATION FORM
Date:
Employee Name:
Employee Code:
Department:
Number of days of leave requested for
Number of Days:
From:
To:
If half day
Morning:
Afternoon:
Reason for requesting leave:
Contact Address during leave period:
Phone Number:
Signature of Employee and Date:
Leave sanctioned as follows (To be filled in by Supervisor) No leave sanctioned: Reason for not sanctioning leave:
Supervisors Signature and Date Department Heads Signature and Date
Leave adjusted against Balance (For HR and Finance)
Leave without pay (to be adjusted in payroll):
Human Resource Representative and date Finance Representative and date (if LWP)