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Leave Request Form

This leave request form summarizes an employee's request for time off. It includes the employee's name and code, the department, the requested leave dates, the type of leave being taken, and the employee's signature. For HR use, it records the employee's joining date, current leave balances, and gets signatures from the department manager, HR, and an authorized signatory to approve the request.

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muneeb.engineer10
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305 views1 page

Leave Request Form

This leave request form summarizes an employee's request for time off. It includes the employee's name and code, the department, the requested leave dates, the type of leave being taken, and the employee's signature. For HR use, it records the employee's joining date, current leave balances, and gets signatures from the department manager, HR, and an authorized signatory to approve the request.

Uploaded by

muneeb.engineer10
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

LEAVE REQUEST FORM

Employee Information
Application Date:

Employee Name Designation

Employee Code Dept./Company


LEAVE DETAILS
From Date To Date
Total number of
Last Working Date
leave days
Reason

Please indicate leave type:

Annual Leave Days ( s) Sick Leave Days (Days)


Casual Leave Days (Days) Leave Without Pay Days (Days)
Maternity Leave Days (Days) Other___________________________ Days (Days)

Short Leave: From_______________________ (AM / PM) To ________________________ (AM / PM)

Who will substitute you:

Name/Position ___________________________________________________________ Signature: ________________________

---------- FOR HR ONLY ---------


Joining Date: Annual Leave Balance Quota: / 10

Sick Leave Balance Quota: / 03 Casual Leave Balance Quota: / 03

CLEARED
CUSTODY (Properties and Liabilities)
YES NO

Company Vehicles
Company Mobiles

Other Material(s): ______________________________________________________________

Requested by: Accepted by: Approved by: Approved by:

Employee Signature Department Manager Human Resource Department Authorized Signatory

Copy: HR & Finance

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