You are on page 1of 1

arkiplan

consulting architects & engineers

LEAVE RETURN FORM


PERSONAL INFORMATION

Employee Name

Employee No.

Date of Leave Application 6-Feb-17

Leave Santioned From (dd/mm/yy) 25-Feb-17

Date To (dd/mm/yy) 4-Mar-17

Number of Days : 07

Returned from Leave on 4-Mar-17

No. of days delay N/A

Reason for delay N/A

8-Mar-17
Employee Signature Date

(Medical certificate should be produced in case of delay due to medical reasons)

FOR OFFICE USE ONLY

Leave Approved for days Paid Leave (Days)

Joined Duty on Unpaid Leave (Days)

_______________ ____________ ________


Managing Director Design Director Accounts

Date: Date Date