Name: Mr, Sachin Prabhakar Dapse eS ‘TSLOG_NG_HQ_CS_HR_LEAVE FORM Emp. No: TS / G 075 Unit/Department : Terminal Operation Designation of Staff : Lead Quality Inspection ‘Type of leave: Annual Duty Reliever: : Respective TOM No of Leave days requested For: 11 Days Date Leave Starts: 21" Nov 2016 Contact Address and phone numb: Pune ~ Maharashtra, India. +91 902839033. ave: FlatNo 191 8600014252 For Office Use Only Leave entitlement for 2016 No. Of Days Already Taken: No. Of Days Granted: Balance Of Leave For Current Year: Date To Report Back To Work : Previous Outstanding Days: Checklist (Please tick): Approved formal request Hand over notes te Staff Signatu a Director's Signature “Team Leads Signature Human Resources Wore ‘Saf mat lain a copy ofthe filly approved eae rn bon sy ernie lene Ths form rma be accompanied by a dete and se ne i > ay sever and formalist ‘TSL LOGISTICS LIMITED — All Rights Reserved wy