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Nuberg Engineering Ltd.

Short Leave Application Form


Date: ________________
EMP. Code: ________Name: ______________________Designation:_______________
Duration of Short Leave
First Half (In Time)
Second Half (Out Time)

:
:

Purpose: ____________________________________________________________
Contact No. During Leave:
___________________________________________________________________

Signature of Applicant
Representative
__________________

HOD or Deptt.
_________________________

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