Letter Requesting Annual Leave - Template, Sample Form

APPLICATION FOR SANCTION OF ANNUAL LEAVE

From:

________
Employee Code / ID: ________
Designation: ________
Department: ________
Residential Address: ________

To:

________
Designation: ________
Name of Employer / Establishment: ________
Address of Establishment: ________

Dated: ________
Place: ________

Re: Application for sanction of Annual Leave with Wages / Privilege Leave under the applicable terms of employment and the Shops and Establishments / Factories legislation in force.

Dear ________,

§ 1. Purpose. Pursuant to the discussion held on ________, during which you were kind enough to convey your in-principle concurrence, I respectfully submit this application in writing seeking formal sanction of my annual leave / privilege leave in accordance with the terms of my contract of employment dated ________, the prevailing Leave Policy of the establishment, and the applicable provisions of the ________ (the applicable Shops and Establishments Act / Factories Act, 1948, as the case may be) governing leave with wages.

§ 2. Particulars of Leave Requested.

1. Number of days of leave applied for: ________ days.
2. Commencement date of leave: ________.
3. Last date of leave: ________.
4. Date on which I propose to resume duties: ________.
5. Reason for leave: ________.

§ 3. Leave Balance. To the best of my knowledge and belief, I have to my credit a balance of ________ days of annual / privilege leave as on the date of this application. The leave herein sought is well within my accrued entitlement and is in conformity with the Leave Policy of the establishment and the statutory leave provisions applicable to me. Should any portion of the leave be required to be adjusted against any other leave category, I have no objection to such adjustment being effected in accordance with policy.

§ 4. Continuity of Work and Handover. I confirm that I have made, or shall make prior to the commencement of my leave, suitable arrangements to ensure that there is no disruption to the work of the establishment during my absence. All pending tasks and ongoing responsibilities will be completed or appropriately progressed, and where required I shall hand over charge of my duties to ________ or such other colleague as you may nominate.

§ 5. Availability During Leave. In the event of any urgent matter requiring my attention, I may be contacted on telephone number ________ and at the email address ________ during the period of my leave.

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I thank you for your kind consideration.

Yours sincerely,

________

Signature: _________________

FOR OFFICE USE / SANCTIONING AUTHORITY

Application [ Approved / Rejected ]: ________
Number of days sanctioned: ________
Remarks: ________
Name of Sanctioning Authority: ________
Designation: ________
Signature: _________________
Date: ________