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Leave Form

Name: Dated:

Type of leave: Group: Accounts and Admin

PL / CL / SL / ML

Date of availing leave: No. of Days on leave:

From: To:
Will rejoin Duty on
Date:

Contact Address during leave: Contact Phone #

AT HOME

Recommended Not Recommended

Sign GH/PM Sign GH/PM


Sign HR: Sign HR:

Not Sanctioned
Sanctioned

No. of days LP: No. of days LWP:


Advise to Accounts: