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LEAVE OF ABSENCE LETTER

Employee Name:
Employee Address:
Employee Personal Phone Number:

Date:

Authority Name:
Authority Department:
Address:

Subject: Requirement for Leave

Dear…,

I would like to request a leave of absence, from …/…/… to …/…/… .


Reason of leave:
Please let me know if I can provide any further infomation regarding this request.
Thank you very much for your consideration.
Best regards.

Prepared by
(Signed, full name)

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