Leave Extension Application Form
(All details must be filled in English and in capital letters)
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| Write Application For LeaveExtension of Leave Format, Samples and Tips |
The Leave Extension Application Form is a standardized document designed to facilitate the formal request for an extension of leave from work. The form is structured to capture essential personal details in English and capital letters to ensure clarity and accuracy.
How To Write A Leave Extension Letter
Personal Details:
Name of the Applicant: Sanjida Akter
Designation: Assistant Teacher
Employee ID: 914189545456
Workplace: West Madarbari Girls Govt. Primary School, Doublemooring, Chattogram
Contact No: 01700000000
Email: example@gmail.com
Purpose of Leave Extension:
Extension Reason: Husband's Treatment
Leave Extension Duration: 6 Months (180 Days)
Previous Leave Duration: 1 Month (30 Days)
Hospital Name: Apollo Hospital, New York, U.S.A
Current Stay Address: House No - F4, Brookline, New York, U.S.A
Emergency Contact:
Emergency Contact Name: Mohammad Hasan Mahamud
Emergency Contact No: 01800000000
Official Details:
Controlling Authority Name: Mst. Alya Akter
Designation: T.E.O (Thana Education Officer)
Office Address: T.E.O Office, Doublemooring, Chattogram
Office Contact No: 01600000000
Office Email ID: Example@gmail.com
Enclosed Documents (Mandatory):
- Government Order
- Request Letter
- Hospital Recommendation Letter
- Entry Seal
- Visa Copy
- Passport Copy
Date: .................
Place: ...............
Signature:
[Your Signature]
