You are on page 1of 1

Services and Trade Company LLC

Leave Application Form

Employee Name Serv: Period Emergency / Normal / Annual

Designation Employee Code Division

Department Leave Period from to

Contact Address while on Leave


Resi. Contact No: (with code)

Air Ticket Request by company YES / NO


If YES - Details

Date of request
Signature of employee
2. Reporting Manager

Recommended YES / NO Reason if NO

Relief required YES / NO


Name & Signature with date
3. Planning Department (If applicable - reporting manager to check)

No. of this category on Roll No. on leave including this applicant

Recommended / not Recommended

From To
Name & Signature with date
4. ADMIN DEPARTMENT

Passport
Expiry Dates of
Visa
Name & Signature with date
5. HR DEPARTMENT

Leave Entitlement for Period from Annual Leave Days from

Salary Advance to be recovered Bank Loan details as on

Any other advance taken on

Remarks
Name & Signature with date
6: Final Approval

Leave Sanctioned YES/NO


Name & Signature with date

You might also like