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NEW DELHI MUNICIPAL COUNCIL

ufero , fto Emp. Code No,


Palika Kendra, New Delhi Super. No. O2
E.C.R. No
P.O. No
Application for leave:

9
Name of Employee
q<14.. k:0:..NR.NER.
Designation
3.
Nature &Period of leave applied for
frn fifiu ....1.2.02\2.4..to.as<0ala.(au.aase2u beiy Sadandyt
From what date

Purpose for which applied for


.eden....hece
Date of joining

Branch ..4.x.(sAncatn).......NA
I hawe joined
duiywe.t-al-2-a4 Signature of the Applicant

Recommendatlons &Report of Recommending Authority.


P. Sati
ignature/Name &design8or
of Hecommending Otco(eueon)
Council
Delhi
Report ofl Establishment Section. Palika Kendra, New

Shri/SmtKm. ..Designation... .is granted


Earned Leave for .days combined with half pay Leave/
Commuted Leave for .days and Extra Ordinary Leave for
**.ays w.e.t..... to.... or
subsequent date of reliet, He/She joined duty on.

Balance Leave at his/her credit


Earned Leave

Half Pay Leave

Sanctioned

Director ( ) JointVDy. Director (

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