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Signature of Applicant
Name. Designation.
Declaration: I hereby declare that I have taken the responsibilities those has to be rendered by the
applicant during his/her leave time and will carry out that till he/she joined in the office again.
Total Leave Type of Leave Leave Enjoyed Leave Applied for Leave Remaining
10 Days Casual Leave
10 Days Earn Leave
10 Days Medical Leave
Leave Granted/ Not Granted for.. Day(s) and he/ she has to rejoin on
Remarks:
.
Signature of Applicant
Name. Designation.
Declaration: I hereby declare that I have taken the responsibilities those has to be rendered by the
applicant during his/her leave time and will carry out that till he/she joined in the office again.
Total Leave Type of Leave Leave Enjoyed Leave Applied for Leave Remaining
10 Days Casual Leave
10 Days Earn Leave
10 Days Medical Leave
Leave Granted/ Not Granted for.. Day(s) and he/ she has to rejoin on
Remarks: