Leave Application Form
SECTION 1: (To be completed by the Applicant)
Poston/Designation Posting
Name: RID (If Any):
Employee Type bos
Duration of leave: [DD-MM-YY] from } to
Request for day(s) Qeamed case! C-Media Quwe omer eave
Purpose of leave requested for
Contact Address! Phone during leave period:
“Altachment: Medical pressipton/cetficate/ other papers
‘ppeants Signature — Recommended by: CuperveovTOTUON) —
Date: Date:
SECTION 2: For use by HRD of ACE-SMECBD Head Office
LEAVE POSITION FOR THE CURRENT YEAR
1
Eamed
Casual
Medical
Le.
Others
Note: Last leave Earned/ Casual/ Mecical/ LWP/ Other leave enjoyed fram to. No. of day(s)
‘Checked by: — Confined by:
HRD General Manager, Corporate
Date: Date:
| SECTION 3: Approval
Approved: day(s) (Jeamed Cicasuat Omedicat Cliwe QjotherLeave
Approved by
Managing/Deputy Managing Director/DirectoriGM, Corporate
Date:
‘Eas Fam Leave ues of ACE SVECBD
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