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Riaz & Co.

Chartered Accountants
Leave Application Request

Name: Department:

Status: P Student Staff

Type of Leave: Casual Sickness Exam Other

From Date: To Date: Total No of Days:

Reason: Scheduled Medical checkup of my knee.

Applicant's Signature: Date:

Leave Type: Casual Sick Exam Other

Entitilement:

Availed:

Balance:

Recommended: With Pay Withouht Pay Approved Not Approved

HOD's Signature: Date:

Pricipal's Signature: Date:

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