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1620, MADURDAHA Manager: 60009 Sudipta Kumar Giri
1620, MADURDAHA Manager: 60009 Sudipta Kumar Giri
PL:6(OM)
60009
LEAVE APPLICATION
C/o Village Pin Code
Name Designation
1620, MADURDAHA
DY. MANAGER
ASWINI KR. GIRI
Father's / Husband's Name FOR URGENT WORK Reason of Leave Leave applied for
700 107
Days
Form date
To date
Leave due
Telegraph Office
20.11.13 28.11.13
Date Recommended / rejected due to Sig./T.I. of Application Sanctioned/Reected due to
Date
Time Keeper
Est. Asst.
Date
Section I/C
Date
Head of Deptt.
Sig./T.I. of Applicant
Name: SUDIPTA KUMAR GIRI Designation: DY. MANAGER Empl Code: 60009 Dept / Quarry Code: DESIGN has been granted / not granted leave for TWO days from 20.11.13 & 28.11.13 with pay / without pay. He must report for duty on.at.....A.M. / P.M. failing which disciplinary action may be taken. Leave refused due to....... LEAVE ORDER NO. Name Empl. Code Date. Designation Dept. Sec. Name Dept. Sec. Code
LEAVE APPLICATION
Address while on Leave Leave granted W / Pay W /o Pay Section I/C C/o Village Pin Code
Empl . Code
Reason of Leave Leave applied for Nature (Leave) Casual Sick Privilege Days Form date To date
Telegraph Office
Leave due
Date
Time Keeper
Est. Asst.
Date
Date
Head of Deptt.
Sig./T.I. of Applicant
Name........Designation....Empl Code..Dept / Quarry Code.... has been granted / not granted leave for ........days from...to.with pay / without pay. He must report for duty on.at.....A.M. / P.M. failing which disciplinary action may be taken. Leave refused due to....... LEAVE ORDER NO. Name Empl. Code Date. Designation Dept. Sec. Name Dept. Sec. Code
, MADURDAHA
Post Office Dist.
State
Date
Head of Deptt.
Sig./T.I. of Applicant
y Code: DESIGN
Head of Dept./Manager Received your leave applicaiton Dated________________ Date ________ T.K. / Est. Asst.
State
Leave recommended for ...days
Date
Head of Deptt.
Sig./T.I. of Applicant
Dept / Quarry Code.... .with pay / without pay. disciplinary action may be taken.
Head of Dept./Manager Received your leave applicaiton Dated________________ Date ________ T.K. / Est. Asst.