APPLICATION FOR LEAVE
APPLICATION Balance Carried Over From Previous Year ( ) : .
NAME :
DESIGNATION : Leave Entitlement For Current Year ( ) : .
DEPARTMENT :
DATE JOINED : Total leave Available For Current Year : .
ANNUAL LEAVE : ____ DAY(s) MEDICAL LEAVE : ____ DAY(s) MEDICAL BENEFIT : THB ________
DATES ANNUAL LEAVE APPLIED FOR NO. OF DAYS BALANCE APPLICATION RECOMMENDING OFFICER APPROVING OFFICER REMARKS / NOTES DATES MEDICAL LEAVE APPLIED FOR NO. OF DAYS AMOUNT (THB) BALANCE CLAIMABLE (THB) REMARKS / NOTES
FROM TO FROM TO
DENTAL BENEFIT : THB ________
DATES MEDICAL LEAVE APPLIED FOR NO. OF DAYS AMOUNT (THB) BALANCE CLAIMABLE (THB) REMARKS / NOTES
FROM TO