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Elementary and Secondary Education Department

GPS GHANI DHERI LALMA


CU KOPAR DISTT: MALAKAND
Dated:__________

Subject: Application Form For Leave

Name:_________________________Designation:____________
Grade:_________________________Type of Leave:__________
Total availed leave to date:_________ Balance of Leave:_______
Reasons of Casual:_____________________________________

Forward By
PSHT Signature Applicant

Sanction By
SDEO/ASDEO

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