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Plot: 371/A, Block: D, Bashundhara R/A, Dhaka-1229

Date: ……………………….
To
………………………………
………………………………

Dear Sir,

Sub: Application for leave.

For the following reason(s) I need ……………… day (s) CL/ML/EL from ………….………to…………………..
I would be grateful if you kindly grant my prayer.

1. Name: ………………………………………………… P. F. No. ……………


2. Designation: ………………………………………….. Dept. ………………..
3. Reason(s) for leave: …………………………………………………………..
4. Address during leave: …………………………………………………………
………………………………………………………...
………………………………………………………...

Yours faithfully,

Signature of Applicant

Contact phone no (if any) ………………………….

Nature of leave Leave due for the Leave enjoyed Balance leave Remarks
year 2020
Casual leave 15 Days
Medical leave 10 Days
Earned leave Days

Above stated statement of leave is true (According to the leave Register).

Folio No. (CL/ML): …………….. Responsibility taken by-


Division/Unit : …………….. Signature:
Application No. : …………….. Signature of Reporting Officer
……………... Name: …………………P.F No…….. Name: …………………………
Designation: Designation:

Comments by
Section /Dept.
Head

Approved by

Section/Department Head Chief Executive Officer (CEO)


Date: Date:

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