NIDAN DIAGNOSTICS CENTER

Mr. / Mrs. / Ms. _________________ would like to request

To have a leave from date _____________ to _____________ no. of
Days _____

reason for Leave _________________.

In my Absence my contact no will be _____________________.

I will be resuming back on duty from Next day _______________.
Sanction for no of days.
Thanking You

Employees Sign
Signature

Leave Sanction

Authorized

NIDAN DIAGNOSTICS CENTER

Mr. / Mrs. / Ms. ____________________ would like to request

To have a leave from date ___________ to _____________ no. of
Days ___________ reason for Leave is _______________________
In my Absence my contact no will be ____________________
I will be resuming back on duty from Next day _______________
Sanction for no of days.
Thanking You

Employees Sign
Signature

Leave Sanction

Authorized