Miss-Punch Form

Date of Application:
Employee Name:
Employee ID:
Mobile Number:
Division / Dept.:
HOD:

Miss-punch record:
Type Actual time of
Date Reason for miss-punch
(IN / OUT punch) entry / exit

Total no. claimed:

Total number of miss-punch claimed in last month:

Employee signature: HOD signature:

Date: Date:

For office use only:

Entered by (name): Date:
Time Office signature:

1 Miss-punch Form v0.1 - updated on 31-07-2012

Approved by Management, Viraj Profiles Limited, India