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DAY OFF FORM

NAME DESIGNAT ION SEAMS NO DEPART MENT

DAT E OF EXT RA DUT Y

APPLIED ON

NUMBER OF DAYS OFF

REASON OF EXT RA DUT Y AND RE G N O . OF AIRCRAFT WO RKED ON

UNDER TAKI N G: I un d ert a ke t o j o i n d u t y i f re ca l l ed at a n y t i me du e t o ser vi ce e xi g en ci e s b ef ore t he e xpi r y of l e av e. Fu rt herm or e I w i ll n ot ap pl y f or e xt en si o n o f l ea ve e xc ep t u nd er un a v oi da bl e c i rcum st an ce s, t o b e f i n al l y de t erm i ne d b y t he m ana g em en t

D a t e ______________________

Ap p l ica nt s S ig na t ur e ____________________________

Sec ti on I n c harge / M ana ger Rec om m en d ed / No t Rec om me nd e d Dat e : ____________________________

Si g nature: Na me : De si g nat i on:

GM / CEs / Chi e f of P&L : Rec om m en d ed / No t Rec om me nd e d Dat e : ____________________________

Si g nat ure: Na me : De si g nat i on:

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