LEAVE APPLICATION

Date:3.4.2012 NAME OF EMPLOYEE DEPARTMENT HEAD QUARTER Mathew Francis Development Chennai

NATURE OF LEAVE

CL

PL

FROM LEAVE PERIOD 5.4.12

TO 7.4.12

LEAVE DAYS REASON FOR LEAVE

Two days

Religious Reasons (Holy week)

CONTACT ADDRESS DURING LEAVE IF ANY

Ernakulam, Cochin

SANCTIONED

NOT SANCTIONED

Signature of sactioning authority Singature of Employee Name of sanctioning authority

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