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  • Yadhoda Mar 14th

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    Shrinivas Boopalam
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    This document is a leave application form submitted by an employee. It provides the employee's ID number and address. It specifies the leave applying dates from January 14, 2022 to July 11, 2022, which is a total of 150 days. It lists the employee's remaining leave balances of casual leave (15 days), special casual leave (7 days), and women's leave (5 days). It includes the employee's signature and the signature of the granting authority approving the leave.

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    This document is a leave application form submitted by an employee. It provides the employee's ID number and address. It specifies the leave applying dates from January 14, 2022 to July 11, 2022, which is a total of 150 days. It lists the employee's remaining leave balances of casual leave (15 days), special casual leave (7 days), and women's leave (5 days). It includes the employee's signature and the signature of the granting authority approving the leave.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    Yadhoda Mar 14th

    Uploaded by

    Shrinivas Boopalam
    This document is a leave application form submitted by an employee. It provides the employee's ID number and address. It specifies the leave applying dates from January 14, 2022 to July 11, 2022, which is a total of 150 days. It lists the employee's remaining leave balances of casual leave (15 days), special casual leave (7 days), and women's leave (5 days). It includes the employee's signature and the signature of the granting authority approving the leave.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    LEAVEAPDAON

    me the Employee
    1 N loa2LL
    2 Employee ID
    Sachivalayam

    3 8nation
    in Grama 1a r a x d Saclurda
    Sachivalayam

    Grama
    Na of the
    &Address 12 l63l22
    Dt. 14 los l 2 2 t o Dt. 1 L l a a l h
    Leave Aplying Date
    Dates
    ( Days)
    Vacation
    Required
    Leave CLS Spl.cls W.cls .H

    (15) (07) (0S)

    D e r o r e Using L e a v e s

    Leaves
    are all used
    holidays
    hese |/407s
    Remaining Balance Leaves

    Leave Purpose

    Signature of the Employee

    (with Stamp)

    chese
    o v a l e Kahna
    r h a r

    sd AnM
    the Granting Authority
    Signature of
    (MEtN GaNoFFICER
    Station: l i d u n S _ Govt. Urban Health Center l
    Indiranagar, HINDUPUR
    Date z lo32022

    Note: Total CASUAL CLS - 15, Spl. CLs- 07, WwOMEN


    (Every Calender Year

    FOR MEN-15+07 22, FOR wOMEN-15-07+05 e. Januaryto December)

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