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Leave Application Form

This document is a leave application form that must be completed in duplicate one week in advance of requested leave. It requires the applicant to provide their name, position, type of leave requested, start and end dates of leave, and reason for leave. The applicant's supervisor must then approve or not approve the request and designate who will be in charge of the applicant's duties during their absence. Finally, the HR department will certify the applicant's annual and accumulated leave balances and details.

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Bonface mugambi
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194 views1 page

Leave Application Form

This document is a leave application form that must be completed in duplicate one week in advance of requested leave. It requires the applicant to provide their name, position, type of leave requested, start and end dates of leave, and reason for leave. The applicant's supervisor must then approve or not approve the request and designate who will be in charge of the applicant's duties during their absence. Finally, the HR department will certify the applicant's annual and accumulated leave balances and details.

Uploaded by

Bonface mugambi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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LEAVE APPLICATION FORM

(To be duly completed in duplicate 1 week in advance. Original for Applicant & duplicate for HR)

Please tick where appropriate:

Annual leave Maternity/Paternity leave Sick leave Compassionate leave Study leave

PART A: To be completed by Applicant

Name of Applicant...................................................SF No....... …Title/ Position. . ………. . …..Branch / Dept. ………

Leave Applied. …. . . Consecutive / None consecutive days from. ….. ……………...to. …. …………………… both days

inclusive to resume duties on…………………………………

REASON: …………………………………………………………………………………………………………

Contact Address P.O. Box. . . . . …………………………..Telephone. . . . . . . ……………..

Sign . . . . . . . . ……………... Date . . . . . . . . . . ………………..

PART B: To be completed by Section Head

Leave Approved / Not Approved. During his /her absence. ………. . ……………….. .will be in charge of his/her duties

Immediate Supervisor . . . Name . . ……………… …………..Title. ………..… . .Sign……………. . . Date. . . . ……

Head of Department. . . . .Name. . . ……………………………Title. . . ……….…Sign. . . …………...Date. . . ……..

PART C: To be completed by HR Department

Annual Leave entitlement this year . . . . . . . . . . Days Leave days accumulated to date . . . . . . . . .Days

Leave days due . . . . . …………………. . . . . Days Leave Days taken…………………….….. Days

Balance of leave as at . . . …………..... Days . . . . .. . . . . . . .. . . . .. .

Remarks: ………………………………………………………………………………………………………………….

Details Certified by . . . . . ……………..Title. . ……………. . . .Sign. . . . ………….. .Date. . . . …………

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