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Leave Application Form

The employee is requesting annual leave, sick/medical leave, maternity leave, or paternity leave from specified date ranges totaling a certain number of days. The form collects the employee's name, designation, contact address while on leave, travel details if applicable, and requires authorization and approval signatures. It also provides a section for office use to track previous leave details and calculate current leave balance.

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manduram
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80 views

Leave Application Form

The employee is requesting annual leave, sick/medical leave, maternity leave, or paternity leave from specified date ranges totaling a certain number of days. The form collects the employee's name, designation, contact address while on leave, travel details if applicable, and requires authorization and approval signatures. It also provides a section for office use to track previous leave details and calculate current leave balance.

Uploaded by

manduram
Copyright
© Attribution Non-Commercial (BY-NC)
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
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FORM F11 Leave Application Form Employee Name:____________________ Designation:___________________ ____ Corporate/Concept/Territory:_______________ REQUEST FOR: ( Please check the

box of the desired leave ) Annual Leave Sick / Medical Leave Others Leave Requested : Pl.specify From ___________ To_____________ Total Days ___________ Employee No :_________________ Date of Joining: ________________ Date of Application_____________ Maternity Leave Paternity Leave

CONTACT ADDRESS WHILE ON LEAVE

DETAILS OF TRAVEL, if applicable Location Date Of Travel Tickets Self /Co

Employee Name:

Authorized by: Signature & Date

Approved By: Signature & Date

For Office Use Only Details of Previous Leave : From ____________ To _____________ Number of Days for Leave Calculation Number of Days Loss of Pay No. of Days of Service Total Days __________

Leave Balance Available Leave Accrued Leave Availed Leave Available

Group HR Dept

Jan 2005

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