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Leave Form

This leave application form is for employees of Amrita Institute of Medical Sciences to request time off. It collects information such as the employee name and code, the number of days requested and dates of leave, the type of leave (casual, sick, paid time off), whether it is for a half day or full day, the reason for leave, who will cover responsibilities during the leave, alternate contact details, current and updated leave balances, approvals from the department head, final authority, and HR department. The form is used to process and track employee time off requests.

Uploaded by

Apoorv Mahajan
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© © All Rights Reserved
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537 views1 page

Leave Form

This leave application form is for employees of Amrita Institute of Medical Sciences to request time off. It collects information such as the employee name and code, the number of days requested and dates of leave, the type of leave (casual, sick, paid time off), whether it is for a half day or full day, the reason for leave, who will cover responsibilities during the leave, alternate contact details, current and updated leave balances, approvals from the department head, final authority, and HR department. The form is used to process and track employee time off requests.

Uploaded by

Apoorv Mahajan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AMRITA

INSTITUTE OF MEDICAL SCIENCES


A CENTRE OF AMRITA VISHWA VIDYAPEETHAM

LEAVE APPLICATION FORM


Date: / /

Employee Name: Employee Code:

Designation:

Number of Days: Date: from: to:

Type of Leave: CL / SL / PTO:

Half day Morning OR Afternoon

Reason for leave:

Charge to be handed over to during leave (name of person and


designation/employee code)

Contact No. during leave other than own mobile no.

Signature of Employee
Leave Balance Opening
(For HR and Finance)
Adjusted now

Balance Leave as on date


Leave without pay (to be adjusted in payroll):

Approved by Dept. Head Final authority Endorsed by H.R Department

Name and Signature Name and Signature Name and Signature


Date: Date Date

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