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RH / CASUAL LEAVE APPLICATION FORM

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Name of Applicant :

2.

inuke

Designation

3.

dk;kZy;@ LFky
Office / Site

4.

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No. Of Days

5.

fnukad@ vo/kh
Date/Period

6.

NqV~Vh dk ;tu

Purpose
7.

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Permission to leave HQ required ( YES/NO) :

fnukad:
Date

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kFkhZ ds gLrk{kj

Signature of Applicant

Remarks/Recommendation of Controlling Officer

gLrk{kj

Signature