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Leave Form

This document is a leave application form for the National Society for Earthquake Technology in Nepal (NSET). The applicant provides their name, designation, division, project, the type of leave requested, dates, and number of days. They must also give a reason for leave and address any impact on ongoing tasks. The administration section tracks the applicant's accumulated and remaining leave hours for annual, sick, casual, and replacement leave. The applicant's supervisor must provide concurrence before an authorized official approves or denies the request.

Uploaded by

Sudan Shrestha
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
32 views

Leave Form

This document is a leave application form for the National Society for Earthquake Technology in Nepal (NSET). The applicant provides their name, designation, division, project, the type of leave requested, dates, and number of days. They must also give a reason for leave and address any impact on ongoing tasks. The administration section tracks the applicant's accumulated and remaining leave hours for annual, sick, casual, and replacement leave. The applicant's supervisor must provide concurrence before an authorized official approves or denies the request.

Uploaded by

Sudan Shrestha
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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National Society for Earthquake Technology- Nepal (NSET)

Application for Leave



Name: ______________________________Designation: ____________________________

Division: _____________________________Project: _______________________________

I hereby request leave as stated below.

Mark
Box
Type of Leave
Requested
Date
Number of Day(s)
From To

Annual Leave


Sick Leave


Casual Leave


Maternity Leave


Paternity Leave


Leave W/O Pay


Study Leave

Time off in lieu
(Replacement leave)


Other

Reason for Leave:

Impact on ongoing task, any mitigation provision made:


Employee's Signature: _______________________ Date: ________________________
Administration: This part must be filled up by Administration prior to obtaining concurrence from
supervisor
Leave (hours) Leave earned to date (hours) This use (hours) Leave balance (hours)
Annual Leave (AL)
Sick Leave (SL)
Casual Leave (CL)
Replacement for extra
work done

Admin Remarks:


Note: Requested leave must not exceed the balance available for use during the leave year.
Official Action on Leave Application

Supervisor concurrence: _____________________________ Date:___________________________


Instruction/Remarks:_________________________________________________________________
Approved/Disapproved by


Name: ___________________________Signature: ______________________Date:___________________

Remarks:



NSET/Leave-1

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