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LEAVE APPLICATION

Date: 23.12.2023

1)Applicant Details:
Employee Name Employee Designation Name of the Working
Code NWH/PHC
P SANDHYA AP_VSPN148 NAM KGH

2)Leave Particulars:
From Date/Time To Date/Time Duration Reasons for Leave

26.12.23 27.12.23 2 DAYS PERSONAL WORK

3) Address & Look after Duties while on Leave:


Address &Personal Contact No .while on Leave Look after duty
VISAKHAPATNAM M PADMAVATHI

4)Signatures & Date:

Applicant Signature Recommending Authority Sanctioning Authority

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