Leave Application Form

Carefully complete the below application. You must have prior approvals before you can fill in the application below.

Name: * First Last
Brought Forward Leaves: *

Check with FMC Admin and your own record, You must ensure accuracy at the time of filing this application
Expected Leave Date: * / MM / DD YYYY
Expected Return Date: * / MM / DD YYYY
Total Leaves: *
Carry Forward Leaves: *

Check with FMC Admin and your own record, You must ensure accuracy at the time of filing this application
Reason for Leave: *
Email: *
Application Request: *
Approved by: *

The leave must have been communicated and approved by this person before submission.
I understand that the information provided in this is accurate and true, any omission or mistatement in the above provided information will result in penalization *
Yes, I understand