LEAVE APPLICATION FORM
Leave Dates: ____________ Recommencement on: ____________
Total no. of leaves: ___________
Reason for leave : _________________________________
Leave Type: (tick one) : Privilege (18days) Casual (6days) Sick (6days) Other
No. of days availed / month: _______No. of days availed / year : _________
Mr. /Ms _______________________________ will manage my responsibilities / tasks during my absence.
Applicants’ Signature____________
Approved by ___________ Without pay / With pay__________
Type of leave approved: ____________________
From India, Kochi
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