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KURNOOL MUNICIPAL CORPORATION TION OF JAL LEAVE 1)Name of the Employee/Ward Secretary * Re Vijaya kumar 2) Designation Phosd Welfare } Develop ment Secretary 3) Section eine pen / 4) Nature of Leave applied * Casual leave 5) Number of days applied no day 6) Period * IMfos/ar 7) Purpose © Healthy problen (Accident) 8) Whether permission for leaving the Headquarters required in case of Leaving the H.Qs during holidays : NO 9) If so leave address and mobile no. US 36013 2 Date: 9 fos) I?) Sita aTURE i nh are Remarks of Section Head Signature of the Section Head. FOR OFFICE USE ONLY The above named applicant has days balance of CLs/OH/CH in his/her leave account as on the date of application. The leave applied may be sanctioned/ rejected. The balance of casual leaves after deduction of leave applied will be days. Necessary entries have been made in the C.Ls register vide page number: Jr.Asst.concerned. Sanctioned/Not sanctioned Date: Signature of the Sanctioning Authority.

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