Title Page

  • Conducted on

  • Prepared by

  • Date

  • Employee number

  • Name and Surname

Leave type

  • How many days of this type of leave do you have left for the year?

  • What type of leave are you applying for?

  • Date of Joining the Company

  • Balance from previous year brought forward

  • How many days do you have in lue of this type of leave

Period required

  • From:

  • To

  • Both days inclusive

  • Number of working days (Excluding weekends wnd Public Holidays)

Contact information during Absence

  • Add location
  • Telephone number where you can be reached

Request for Approval

  • Signature of Aplicant

  • Endorsed by Direct Supervisor

  • Approved by Manager

  • Select date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.