NOCPL/HR/01

LEAVE APPLICATION FORM

Name of Employee : Ranjan Kumar

Designation : Manager-Projects

No. of Days Applied for : 19 Days

Period of Leave : From 20-11-23 to 09-12-23

Reason : Personal Work at native.

Nature of Leave : Earned Leave

Leave Address : S/o Shri M.N. Choudhary, Kahra Block Road, Ward No.24,
Kahra,Near South Point School, Saharsa-852201 (Bihar)

Contact No : +91-9769902936/8329199608

Date : 10-10-23 Signature of Employee

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FOR OFFICE USE
Recommended by

Project-in-Charge
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Leave record verified and the balance leave status certified as follows:

EL____________as on (date) ___________ /Acc. Leave ________

Signatue:

Name:
HR Dept.
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APPROVED

GM/Director/CEO
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MD for info please
Ward No.24,
201 (Bihar)

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