maple

MUMBAI MRRO IN ?
MAPLE Consortium
General Consultant for Mumbai Metro Line 3
NORAL CTNSULTAN

FORM-021
STATEMENT OFABSENCEFROM MAIN LPROJECT OFFICE
Name:
ALlL \WHN CASTELINO AECOM, Padeco, tB6, Egls Aali MRE-

Position: spe

Nature of Leave Applied For:

Annual Leave Sick ve Casual Leave omcda Outstation Vist

No. of days applied for:

From: 1112 L222 (inchustve) To:21/12/2c2e incusive)

And From:. Cunchustve) To: incusve)

Proft14I2
(Date of leaving)
/24ie_ Suffix 21he/2e2
(Date of return)

Reason

Tekephone No. while absent IS7s172

Date:2/2/22e
(Signature of Applican

Accepted by the Team Leader Name:

PE-SS7 Signature

9Pina
Accepted by the Project Director Name:

Signature

C/O MAPLE Consortium, MMREL. line 3 Transit Ofice, Wing '®', North Side of City Park, T Block
Bandra Hura Complex, Bandra (East), Mumbai - 400 051.
 maple
MUNBA METRO RINE-3
MAPLE Consortium
General Consultant for Mumbal Metro Line 3
GNERAL OONSAFANT

FORM-021
STATEMENT OF ABSENCE FROM MAIN/ PROJECT QFFICE
Name: NiGETCHN CASELIN AEEOM, Padeco,tB6,EgisRail,MMRE-
osition: nsELi

Nature of Leave Applied For:

Annual Leae Li sick Leave CasualLeave Official Outstation Visit

No. of days applied for:

2
From: 12/2222 inclusive) To:2l2/222p inchusive)

And From ¬incusive) To:. ¬inclusive)

Prefi22/2/222_
Date of lezving)
Suffi 2.nlzz2o
(Date of return)

Reason VaLatz.

Telephone Na. while absent

Date: $nlu2
(Signature of Applican)

PSsr Accepted by the Team Leader Name

Signature

Accepted by the Project Director Name:

Signature:

C/O MAPLE Consortiun, MMRCL Line 3 Transit Office, Wing '®, North Side of City Park, 'E' Block,
Bamdra Kurla Complex, Bandra (East), Mumbai -400 051.