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D B Power Limited,Mumbai

Leave Application Form


Date: ____________

To,
The HOD,
D B Power Ltd.
Mumbai
Name of Employee

__________________________________

Designation

__________________________________

Employee Code

__________________________________

Department

__________________________________

Leave

From _____________ To_______________

Total No of Leave

__________________________________

:
:
:

(
(
(

________________________________

Choose type of Leave:

Casual Leave
Sick Leave
Privilege Leave

Please mention reason

)
)
)

________________________________
Signature:

____________________________

Name of the HOD:

____________________________

Designation of the HOD:

____________________________

Remarks of the HOD:

____________________________

Signature:

____________________________

Forwarded to HR Department
RULES:

Privilege Leave (PL): Minimum 4 Days (Prior Approval Is Must)


Sick Leave (SL): Beyond a period of 3 days, medical certificate a must.
Casual Leave (CL): maximum of 2 Days (intimation is Must)

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