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KERALA STATE BACKWARD CLASSES

DEVELOPMENT CORPORATION LIMITED

DUTY PASS No.


Name I D Card No.
Designation District / Sub District

Duty from ………………………… am/pm to ………………………... am/pm on ………………. is


sanctioned.

Purpose ………………………………….

Employee Signature Signature of the sanctioning Authority

Note : The duty pass should be countersigned by the sanctioning authority.

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