Leave Application Form (To Be Used by Executive Only) : Remarks

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Appendix 19

LEAVE APPLICATION FORM


(To be used by Executive only)
NAME __________________________ DESIGNATION _____________________
REPORTING TO_____________________________________________________
DEPARTMENT ___________________ LOCATION _________________________
No. of leave/leaves required _________ FROM ________ __TO _______________
CATEGORY - CL/SL/EL/LWP(Leave Without Pay*)/Special leave for Marriage/Paternity
Leave/ Maternity Leave Please mark ( )
REASON_________________________________________________________________
_________________________________________________________________________
Signature of the applicant
Date: ____________________
Recommended By:

Signature of the sanctioning authority

Designation:

Date: ____________________

Signature:
REMARKS

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