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Form #: IRO-3.6-15 Rev.

#: 00 (01/01/15)

Request for Mutual Shift Change / Group Change


Group Change Shift Change

Applied on Dated : _______/_______/_20_____ Change on Dated : _______/_______/ 20____

Requested By Agreed By
Name : _______________________________ Name : ________________________________

Empl. # : _____________________________ Employee # : ____________________________

Designation: __________________________ Designation: _____________________________

Section / Dept. __________________________ Section / Dept. ____________________________

Current Grp/Shift : ________________________ Current Grp/Shift : _________________________

Change Grp/Shift : ________________________ Change Grp/Shift : _________________________


I agree Yes No

_________________________ _________________________
(Requested By) (Agreed By)

Approved By

(Reviewd By) (Approved By)


Area Engineer / Shift Incharge Section/Unit Head

NOTE: 1) Please submit this form on same day.


2) Please always mention standard date format (DD/MM/YY)
3) Please use only "Requested By" if not mutual Shift / Group Change

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