Ref. No.

:-F/HR/2014/12

Vinayak Compserve Pvt. Ltd.

LEAVE APPLICATION FORM

Name: NAVINDRA JAISWAL _Designation: DESKTOP SUPPORT E.R , Site Name.

IPGCL (PPCL)
Period of Leave: From _25/ 01 /2016__ To __30 /01 / 2016__ No. of Days: ____06____
Brief Reason for Leave _PERSONAL WORK _
______________________________________________________________________________
Contact No.(During Leave) : 1.) ____8750351180_(2.) __7785824910____
Responsibility Handing Over to : ____ E.R. SWARUP RANJAN _DUTTA_____________

Employee Signature : ___NAVINDRA______

Leave Sanction:

Yes / No

( yes )

Department Head:

MR. PIYUSH

Date: __01/01/2016____________
For Days: __06___________

Remarks: _________for thish_reason my leave____________________________

_________________________________________________________________________
Note: 1. Short Leave application to be submitted 1 day before proceeding for leave.
2. Long Leave application to be submitted 30 days before proceeding for leave.

Ref. No.:-F/HR/2014/12