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Morshed Bin Ansari has applied for one day of medical leave on March 20, 2019. He is requesting leave from his role in the SPD department at the Niloy Motors Ltd warehouse in Borobari. As a confirmed employee, he has provided his contact information during the leave period. The application requires approval from his supervisor, Md. Rashedul Islam, and the Director of Human Resources.

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Moeshed musa
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220 views2 pages

Leave Form

Morshed Bin Ansari has applied for one day of medical leave on March 20, 2019. He is requesting leave from his role in the SPD department at the Niloy Motors Ltd warehouse in Borobari. As a confirmed employee, he has provided his contact information during the leave period. The application requires approval from his supervisor, Md. Rashedul Islam, and the Director of Human Resources.

Uploaded by

Moeshed musa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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LEAVE APPLICATION FORM

Employee Name: MORSHED BIN ANSARI. Employee ID: 20140321

Company Name: NILOY MOTORS


Department: SPD Location: BOROBARI
LTD WAREHOUSE
Date of Application: 27.03.2019 Date of Leave: 20/03/19
Total Leave: 01
Reason: Medical leave. (DD / MM / YY) (DD / MM / YY)

Employment status of the Applicant: Contact information during leave period:


 Confirmed  On probation (Mandatory)

Nature of Leave (Please tick the appropriate box) Name: Morshed Bin Ansari

Personal Earned Extraordinary Address: Shewrapara,Dhaka


Casual
Wedding Maternity
Personal Phone/Mobile: 01919098478
Family Death in
Medical Hospitalization of Email address:
Vacation Family
Family

Recommendation as applicable: Supervisor/ CMO/CBO/


Dept. Head /Director Employee’s Signature with Date

To be Approved by Manager/CBO / Director / Advisor / ED / MD / Vice Chairperson / Chairman

Name of the Supervisor: Md. Rashedul Islam-20180701

(Supervisors are requested to ensure sufficient leave is available before approving it.)
Leave Recommended (Please tick the appropriate box):  With pay  Without pay

Number of Casual Earned Medical Death in Extraordinary Family


days leave vacation
enjoyed
Family
previously: days 01 days
…………days …………days …………days …………days

Supervisor’s Comments (If any)


……………………………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………………………..

Date: ………………………………….. Signature: ………………………………

To be Approved by Director Human Resource (As Applicable)

Leave sanctioned (please tick the appropriate box):  With pay  Without pay

Remarks: ……………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………

Date: ……………………………….. Signature…………………………………….


Applicants Copy
Date of Leave: …………………………………………………….. Signature: ……………………………………………………………………….

Date of Received: …………………………………………. Employee ID: …………………………………

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