Al-Nizam Services Pvt Ltd
Leave Application Form
I, ________________________________ Designation_____________________________________
Reporting to _______________________________________________________
Wants to apply for days of leave from to
For the following reason(s):
Type of Leave Requested (Please tick):
Annual
Medical
Unpaid
Others
Applicant’s Signature Date
For Official Use
Approved Rejected
Signed By Line Manager:______________________ Signed By HR:___________________
Name: Date: