HOD Leave Application Form

PART I: TO BE FILLED BY THE APPLICANT

1. Name (in full):

2. Employee ID:

3. Designation:

4. Department:

5. Type of Leave:

6. Start Date:

7. End Date:

8. Number of Days:

9. Reason for Leave:

10. Contact During Leave:

11. Work Handover Arrangements:

PART II: FOR APPROVAL

Supervisor Remarks:

Supervisor Decision:

Date:

HOD Remarks:

HOD Decision:

Date:

REPUBLIC OF KENYA