Leave Application Form

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CENTURION POWER CABLES PVT. LTD.

Leave Application Form


Employee Name Department:
Designation:
Reason for Requested Leave:
Sick
Bereavement
Unpaid Leave
Personal Leave
Maternity/Paternity
Other
Dates Requested: Leave From: To:
Employee’s Signature:
Date:
Manager/Supervisor Approval:

Approved:
Rejected:

I will be on leave from ________ to ___________. I have handed over all my work related
documents & records to Mr _________ (Secondary Responsibility).

He will take care of all the activities while I am on the leave. You can contact him on his mobile
number ______________ & email id _________________

Signature of Secondary Responsible Person : ______________

HR Head Approval:
Approved:
Rejected:
Doc. No. : F-HRD-16 Rev. No.: 0 Date : 24.07.2021

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