Leave Request And Approval Form

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ANNEXURE 10/2
ROYAL CIVIL SERVICE COMMISSION
LEAVE REQUEST AND APPROVAL FORM
Date: ………………..
To
: ……………
From : ……………
Kindly grant me leave as follows:
Select
Duration
Sl.
to
Type of Leave
Start
End
Total
Remarks
No.
Avail
Date
Date
(√)
1
Earned Leave
*
2
Casual Leave
*
3
Maternity Leave
Attach evidence
4
Paternity Leave
Attach evidence
5
Medical Leave
Attach evidence
6
Extraordinary Leave
Execute Legal Undertaking
7
Bereavement Leave
* Submit reasons:
………………………………………………………………………………………………………….
………………………………………………………………………………………………………….
Signature of Applicant
* Until today, the …….. (date) of ……… (month), ………. (year), the applicant has
…………. days of earned leave, and ………….. days of casual leave remaining.
Recommended
Not Recommended
Signature
HR Officer
Approved by:
Signature of Supervisor/Manager
Approved by: HR Committee meeting no. ….. dated……. for (i) medical leave
beyond one month and (ii) EOL.
Signature of HR Officer

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