FORM – II

APPLICATION FOR PAID LEAVE (PL) IN RESPECT OF OUT SOURCED STAFF POSTED IN
NHIDCL PREMISES

1. Name of applicant : ___________________________________

2. Designation : ___________________________________

3. Division/Section : ___________________________________

4. Period of contract : ___________________________________

5. Period of PL : ___________________________________

6. Alternate arrangement : ___________________________________

7. Purpose of PL : ___________________________________

8. Sunday and holidays, if : ___________________________________

Any, proposed to be
prefixed/Suffixed to leave

SIGNATURE OF APPLICANT
Date : ____________________

Remarks/recommendation of Concerned DGM(P), NHIDCL: _____________________

(Signature)

General Manager (P), NHIDCL: ____________________

(Signature)

PL Availed : ____________________

PL Balance : ____________________

Signature of O.A.