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SPECTRUM COAL & POWER LIMITED LEAVE APPLICATION DATE 1) EMPLOYEE IDENTITY NO. 2) UNIT NAME, 3). NAME OF THE CANDIDATES. 4) DESIGNATION 5) DEPARTMENT 6) TOTAL Days ____FROM_ 10 7) NATURE OF LEAVE ey c ciorF| LwP 1s) REASON OF LEAVE 19) ADDRESS DURING LEAVE CONTACT NO, SIGNATURE OF APPLICANT FOR OFFICIAL USE ONLY LEAVE SANCTION(NO.OF DAYS FROM TO SIGN.OF APPROVING AUTHORITY SIGN.OF SANCTIONING AUTHORITY. . FOR HR OFFICE USE ONLY LEAVE SANCTION FROM TO. NATRE OF LEAVE ELM a ciorF| Lwe| BALANCE LEAVE LPL cL core| Lwe| SIGNATURE SIGNATURE NOTES 1. All leaves should be sanctioned/approved by competent authority in advance. 2, A copy of leave application dully sanctioned & approved must be submitted 1o HR dept. before proceeding on leave 3. The employee will join at 09:30 an/shift on the day succeeding the last day of sanctioned leave.

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