leave application for office

ABC Private limited

STAFF LEAVE APPLICATION FORM

E. Code - 12345                                  D.o.J - 12345

Name: Akash Dubey                          F.Name: Prakash dubey

Designation: A.G. 3                           Department: Public relations 

Nature of Leave: Full day     From(Date) 1 Jan. 2013 To 5 Jan 2013 Total Days 5

Reason for Leave - Due to sickness, I am unable to come to the office , My doctor 

advised me to take bed rest at home.

Signature of Applicant                   Supervisor                          Head of Department

(For Admin Department Use)

H.R.Deptt

Leave	Entitled	Availed	Balance
Casual
Sick
Annual
Lwop
Cpl

Action Taken

Leave Sanctioned

With Pay___Yes/No____            Without Pay___Yes/No__

Jr. Officer:_________________H.R.Deptt:__________________

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GET THIS APPLICATION IN FILL IN THE BLANK FORMAT