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NATIONAL INSTITUTE OF CARDIOVASCULAR DISEASE

LEAVE APPLICATIiON FORM


EMPLOYEE NO:

, request you to grant me day(s) casual /sick/privilege leave with pay írom

to on account of_

Leave Entitlement:

P/Leaye
C/Leave Signature of Applicant
NAME:
DESIGNATION:
DEPARTMENT:
DATED:

RECOMMENDED/NOTRECOMMENDED
DATED: SIGNATURE:

LEAVE ADDRESS: sanction


to desire availing and avail once the leave is
NCTE: Please submit leave application 07 days prior

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