NAVAYUGA ENGINEERING COMPANY LTD

Dwarakanagar, Visakhapatnam-16.
LEAVE APPLICATION FORM
Date:_________2008
NAME:_________________________

Nature of Leave: Sick/Privilege/Casual

DESIGNATION:__________________

NO OF DAYS:_____ From_____

To_____

NAME OF SITE:__________________

REASONS FOR LEAVE:_______________

LEAVE ADDRESS:_______________
________________________________
________________________________
Recommendation of In Charge
(Name &Designation)

Signature of Left hand thumb

impression of Employee

_______________________________________________________________________________
Detailed Particulars of Leave
at credit of Employee
Privilege
Leave
Days

Sick Leave
Days

Comments/ Approval by Head office

Casual Leave
Days
DIRECTOR

Signature of Personnel In Charge

Leave entered in the employees Leave Record.

Signature of dealing Assistant.