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Appendix VII-A
LEAVE APPLICATION FORM
EMPLOYEE INFORMATION
Name Designation
Department Employee ID
Base Station Date of Joining
Contact No. Email Address
LEAVE INFORMATION (to be filled by applicant)
Purpose:__________________________________________________________________________________________
___________________________________________________ From:__________________ To:__________________
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Leave
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Un
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Ca
Ma
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Ex-
Be
Leaves Entitled 10 20 - 10 - 90 03 - 40/15
Already Availed
Remaining Balance
Applied Now
Balance
Any Other Information:
* For Females
Signature of Applicant:__________________ Date:______________
Recommendations:
______________________________ _____________________ _________________ _________________
1.
Name Designation Signature Date
______________________________ _____________________ _________________ _________________
2.
Name Designation Signature Date
______________________________ _____________________ _________________ _________________
3.
Name Designation Signature Date
Approval:
_____________________________ _____________________ _________________ _________________
Name Designation Signature Date
VERIFIED & RECORDED BY HR DEPARTMENT
_____________________________ ____________________ __________________ __________________
Name Designation Signature Date