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APPLI(ATIOiJ FOR LAP/LHAP
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Narne of the EmDlovee/officer
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Desiqnation, Ofrice & Station
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Leave applied for
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Address during absence

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Designation and office.
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Orders of S'ractionir:g ArthBrity

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t/CerLified that the leave
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updated as on

SOUTH WES iERN RAILWAY