Leave Form (Updated on 05.01.
2021)
(In case of Online Filling, Press Ctrl + S to save the form & no need for the signature.)
Section 1- Application:-
Kirti Sk2051
Employee Name: ………………………………………………….. Employee Code: ………………………………….
JR. Executive HR & Admin
Designation: …………………………………………………………. Department: ……………………………………....
7053315859 22.05.2025
Contact No.: …………………………………………………………. Date: …………………………………………………..
Type of Absence Requested:
Sick Leave (SL) Casual Leave (CL) Earned Leave (EL) Maternity Leave (ML)
Paternity Leave (PL) Compensatory Off Other
20.05.2025
Dates of Leave: From: ……………………………………. To: ………………………………….
Urgent Work
Reason for Leave: ………………………………………………………………………………………………………………………………
You must submit request for absences, other than sick leave, three days prior to the first
day you will be absent.
Put a signature & date below and then route it to HOD or Manager for approval.
After filling, please send this form to Section 2.
22.05.2025
Signature: ………………………………………………………… Date: …………………………..…………………
Section 2- Senior’s Approval (Senior/HOD/MD/JMD):- SeS
Approved Disapproved
Remark (if any): …………………………………………………………………………………………………………………………………..
Name: ………………………………………………… Signature: ………………………..….… Date: ………………………………
If approved then route it to HR Department.
If disapproved then route it back to the originator.
Please forward this form to Section 3.
Section 3- HR Department:-
Check if sufficient leaves are available and then execute the further process, if not inform
the employee that his leaves will be unpaid.
Remark (if any): …………………………………………………………………………………………………………………………………..
Name: ………………………………………………… Signature: …………………………………… Date: …………………………
Inform the originator about the leave approval and deduction if any against these leaves.
Do the admin and then file it in the leave folder.
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