LEAVE APPLICATION FORM
Date: ____________________
TO BE FILLED BY APPLICANT (A)
Name: __________________ Designation:_________________ Department/Faculty:_________________
Leaves Applied For (Please Mark “ ”):
Earned Leave Casual Leave Sick Leave
Maternity Leave Ex-Pakistan Leave Duty Leave
No of Days: ____________ From (Date): ____________________ To (Date) ___________________
For Short & Half Day Leaves:
Half Day Leave Short Day Leave Time From: ____________ To: ____________
Remarks (if any): ____________________________________________________________________
Reason of leave: ________________________________________________________________________
Leave Address: _________________________________________________________________________
Phone/ Cell# ________________ Employee Signature: ____________________ Date: _______________
RECOMMENDATION OF HOD (B)
Name:___________________________ Designation: ________________________
Recommended Not Recommended
Remarks (if any): __________________________________________________________________
Signature: ________________________ Date: _________________
OFFICE USE ONLY (C)
Leave Entitle Leave Due Leave Applied for Total Availed Balance
Sick Leave
Casual Leave
Academic Leave/Conference
Maternity Leave
Earned Leave
Date: PS # Joining Date: ____________________
Leave Sanctioned as: ________________________________________________________________
____________________________ ____________________________ __________________________
HR Department/Signature Registrar/Signature Vice Chancellor/Signature
Note:
1. Medical certificate is compulsory for availing sick leave more than two days.
2. Any casual leave taken above two consecutive days shall be treated as earned leave and adjusted against the same.
3. All employees proceeding on leave must notify telephone contact number(s) & leave address.
4. Leave application form must be submitted within three (3) days after availing the leave otherwise it would be treated as an absence.
5. Invitation Letter / Nomination Form must be attached to avail the Duty Leave.