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Consultant Co,. Ltd.

Karnaphuli Water Supply Project-Phase 2


Leave Application Form

Applicant's Name

Designation
Applied for Casual Medical (Sick) Maternity Total Days
Period From To From To From To

Address, while on
Leave

Contact Telephone

Reason

Signature of Applicant with date

Leave Type Leave Entitled Leave Availed Balance

Casual 15 Days
Leave Status
Medical(Sick) 15 Days

Maternity 4 Months

Recommendation :

Recommended Not Recommended

Reason, if not
recommended

Name: Signature with date

Approved By : TL

Approved Not Approved

Reason, if not
approved

Name: Signature with date

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