16 Kamal Ataturk Avenue

th
14 floor (Tower Hamlet)
Banani C/A
Dhaka-1213, Bangladesh
Phone: +88-02-9821368
+88-0 666 230 1160
E-mail: arazzaque@axisdgi.com
USA:
th
744 Broad Street, 19 floor
Newark, NJ 07102
NJ +1.973.792.9194
NY +1.212.288.7120
Axis Design Consultants Ltd Fax +1.973.792.9499
Web: www.axisdgi.com

APPLICATION FOR LEAVE

SECTION - A (To be completed by Employee) Clear Form PRINT
Date of Application : 22.02.2019
Employee no. : 10746
Name : Asif Mostafa Anik
Designation : Engineer
Date Applied : From 22.03.2019 To 22.03.2019
No. of days :1

Type of leave : □ Annual □ Medical □ Privilege □ Unpaid □ Other

State reason for leave : Ex-Cadet Annual Alumni Program

Address during leave : Adabar, Dhaka

Telephone contact no. : 1970402192

Employee’s signature

SECTION –B (For official use)

i) Leave balance brought forward from previous year : day(s)
ii)Current year’s leave entitlement : day(s)
iii)Total leave balance : day(s)
iv)Leave taken to date : day(s)
v)Leave balance after this application : day(s)

Director Signature
APPROVED / REJECTED
Comments (optional)

Date: Authorized signature