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EMPLOYEE LEAVE FORM

(To be filled in case of unplanned leave)

Employee name

Date of Leave Taken From To Total Leave Days

Date of Form Submission

Designation/ Department

Contact Number

 Sick Leave  Emergency Leave ✔


 Others

Reason for Leave

Name & Signature of Applicant

Name & Signature of Supervisor

(FOR Official Use Only)

Signature & Date of HR

Remarks/ Comments

Director’s Signature

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