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Leave Application Form

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LEAVE APPLICATION FORM

Name: ____________________________ Date: ____________

Designation: _______________________

Leave applied for ____ days From To

dd mm yy dd mm yy

Reason for Leave _____________________________________________________

Address and Contact Number _______________________________________________

During Absence on Leave _______________________________________________

Earned Leave Days Without Pay Period days Balance Leave

Approved for days

_________________ _________________ ________________


Employee Signature Manager Director

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