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Milki Ice Cream Industries

Leave Application From

Date......................

➢ Name of applicant : ..............................................................................


➢ Designation : ..............................................................................
➢ Department : ..............................................................................
➢ Staff Id Number : ...............................................................................
➢ Leave Status : Leave with pay Leave without pay

Date of leave from: ..............................to............................... including

total working day/days .........Purpose of leave .....................................


Last leave taken on date ............................&...........................days.......
➢ Address & contact number during leave:
Address: .................................................................................................
Contact Number: ...................................................................................
➢ During leave job will be covered by:
Name................................................Designation...................................
Signature.....................................

Applicant’s Signature

............................

Head of Department Office Assistant Approved by

................................. ......................... ....................

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