Leave Form Intern

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Krnodwmot Sainil Arabia

Mutrv ofHealth
L
K! r+IG SAU D C CITY


Trainee Leave Application Form ".-U;
1-1-43

To be filled by trainee ,,J..):


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Name in English c14J2-11:i I.,11,1.)


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Rsident Intern
Training Type Mobile Number
Attach .).44. 4!

Department University

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Leave Type
Scientific Leave ;i..^1 Si* b

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Duration To From Leave Date

Comments

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Date Trainee Signature

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Date University Approval

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Date Group Head / Department Approval

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Date Training Coordinator / Supervisor Approval

Signature-7%.e .1
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Disapprove Approve Approval of Academic Affairs

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