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LEAVE FORM

Employee Name:
Employee Code:
Department:
Date:

Number of days of leave requested for


Type of Leave (EL/SL/CL)
Number of Days:
From:
To:

If half day
Reason for requesting leave:
Contact Number during leave
period:

Leave sanction details (To be filled in by Reporting Lead)


Leave Approved (Yes/No) :

If No, mention the reason for


not approving

Name of Reporting Lead:

Date:

LEAVE FORM
Gyan Prakash
OC00146

4-Jul-14

Number of days of leave requested for


EL
2.5 days
10-Jul-14
11-Jul-14
9-Jul-14
Fucntion At home town Jamshedpur
+91-9771581551

e sanction details (To be filled in by Reporting Lead)

s/No) :

Lead:

Date:

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