INDIAN INSTITUTE OF TECHNOLOGY : DELHI
ELECTRICAL ENGINEERING DEPARTMENT
FACULTYEmplyee Code:__________________
APPLICATION FOR EARNED,MEDICAL,CASUAL,VACATION LEAVE
1. Name of the Employee:___________________________
2. Employee's Code No.:____________________________
3. Designation : ___________________________________
4. Type of Leave: _________________________________
5. Period of Leave: From____________ To:______________
6. Reason of Leave: ________________________________
7. Address During Leave:____________________________
_____________________________________________.
Arrangement s for Teaching Classes Examinations/
Investigation Duties Whenever Applicable
______________________________________________________
______________________________________________________
Date : (Signature of Applicant)
Recommended/Not Recommended and Forwarded for Necessary Action.
Head Elect.Engg.Deptt.
Estt-I