Labour Commissioner 
Register of Leave
(See rule 14)
Name of Establishment .................................................................
Name of Employee ...........................................................................
Date of Employment ....................................................................
| Casual or Sickness Leave | Privilege Leave | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Amount of Leave Requested | Date of Application if any | Leave Availed | Total Leave Availed | Date of Application | Whether Application Granted or Refused Fully or Partly | Leave Availed | Total Leave Availed | Balance at the end of the year | ||
| From | To | From | To | |||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |