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Staff Leave Application Form
Date:
Name & No.:

_______________________ Joining Date:

Dept. /Title:

______________________________

Date of Last Leave:

___________

__________

Date of Last Resume:

_________

I apply for leave as hereunder:

Type of Leave:

Annual

Emergency

Number of Leave Days:

____________

Starting Date:

____________

Contact Address:

Casual

Sick

Resumption Date:

___________

______________________________
______________________________

Signature of Applicant: ____________________________________________________________

Managers Comments/Approval: ____________________________________________
________________________________________________________________________________
Administration Managers Comments: ______________________________________________
________________________________________________________________________________
Financial Managers Comments:
________________________________________________________________________________
________________________________________________________________________________

Management Remarks: ___________________________________________________

________________________________________________________________________
cc: personal file/adm.
cc accounts dept.