Full Name: ___________________________________________
Employee ID: ___________________________________________
Department: ___________________________________________
Designation/Job Title: ___________________________________
Contact Information: ____________________________________
Type of Leave:
☐ Vacation Leave
☐ Personal Leave
☐ Other (specify): ____________________________
Leave Start Date: ______________________________________
Leave End Date: ________________________________________
Number of Leave Days Requested: _________________________
(Optional unless required by company policy)
Days to be Advanced from Future Entitlement: ____________
Current Leave Balance (if known): ________________________
Tasks to Be Covered During Absence:
Point of Contact During Absence:
Name: ________________________
Email/Phone: ___________________________
Supervisor Approval:
☐ Approved ☐ Denied
Signature: ____________________________
Name: _______________________________
Date: ________________________________
HR Approval:
☐ Approved ☐ Denied
Signature: ____________________________
Name: _______________________________
Date: ________________________________
(To be signed by the employee once the request is processed)
I, __________________________, confirm that the details provided above are accurate and I understand the company’s policies regarding advanced leave.
Signature: ________________________ Date: ______________
Templates
Templates