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Maheshwari College of Commerce & Arts Received No____________ Sector-5 (extn.), Pratap Nagar, Jaipur Contact No. – 0141 – 2770147 –

Received Date__________

148,9252525183,283 Signature

Casual Leave Application Form Name of the Employee

: _______________________________________

Designation

: _______________________________________

Leave Date

: ________________________________________

Type of Leave

: ________________________________________

Reason of eave

: ________________________________________

Address During Leave Period

: _________________________________________

& Telephone No.

: __________________________________________ : __________________________________________

Date:-

Signature of the Employee

For Office Use

Recommendation

Leave Due ______________________ Days

Granted/ Not Granted With Pay/Without Pay

Period of Leave__________________ Days Remaining Bal After Leave _______ Days Entered Leave Register

Principal

Page No __________ Date_________

LDC

Office Asst.

Admin Officer

Employee’s Signature


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