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Creating Better Tomorrows with Workers Leave

YGEN ENGINEERING LTD. Application Form

Personal Information Section :

Worker Name: Date :

Designation : Worker ID :

Department : Date of Site Joining :

Leave Application Reason: (Put Tick Mark)

Vacation Annual Leave

Sick-Self Sick-Family

Leave of Absence Funeral

Earned Leave Without Pay Leave

If Reason is Other Mention in Details :

Leave Applied From (Date) : TO :

Total Number of Days of Leave Applied :

Worker Signature Date

Approval Section :

Ygen Representative Approval IHI Representative Approval

Comments If Any :

Emergency Information Section :

Emergency Contact Number :

Contact address while on leave :

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