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1620, MADURDAHA Manager: 60009 Sudipta Kumar Giri

This document is a leave application form submitted by SUDIPTA KUMAR GIRI, a Deputy Manager at Steel Plantech Engg. India Pvt. Ltd. in Kolkata. He is applying for 2 days of casual leave from November 20th to November 28th, 2013. The form tracks the approval process, including signatures from the timekeeper, establishment assistant, section head, and head of department. It also notes that if he does not report for duty by the specified time after leave, disciplinary action may be taken.

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0% found this document useful (0 votes)
65 views3 pages

1620, MADURDAHA Manager: 60009 Sudipta Kumar Giri

This document is a leave application form submitted by SUDIPTA KUMAR GIRI, a Deputy Manager at Steel Plantech Engg. India Pvt. Ltd. in Kolkata. He is applying for 2 days of casual leave from November 20th to November 28th, 2013. The form tracks the approval process, including signatures from the timekeeper, establishment assistant, section head, and head of department. It also notes that if he does not report for duty by the specified time after leave, disciplinary action may be taken.

Uploaded by

Arindom
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLSX, PDF, TXT or read online on Scribd
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Form No.

PL:6(OM)

Address while on Leave

60009

SUDIPTA KUMAR GIRI

LEAVE APPLICATION
C/o Village Pin Code

Empl . Code Dept./Sec.Code


DESIGN Dept./Sec. Name

Name Designation

1620, MADURDAHA

DY. MANAGER
ASWINI KR. GIRI

Steel Plantech Engg. India Pvt. Ltd. KOLKATA - 700 156

Father's / Husband's Name FOR URGENT WORK Reason of Leave Leave applied for

700 107

Nature (Leave) Casual Sick Privilege

Days

Form date

To date

Leave due

Leave granted W / Pay W /o Pay

Telegraph Office

20.11.13 28.11.13
Date Recommended / rejected due to Sig./T.I. of Application Sanctioned/Reected due to

Date

Time Keeper

Est. Asst.

Date

Section I/C

Date

Head of Deptt.

Sig./T.I. of Applicant

Name: SUDIPTA KUMAR GIRI Designation: DY. MANAGER Empl Code: 60009 Dept / Quarry Code: DESIGN has been granted / not granted leave for TWO days from 20.11.13 & 28.11.13 with pay / without pay. He must report for duty on.at.....A.M. / P.M. failing which disciplinary action may be taken. Leave refused due to....... LEAVE ORDER NO. Name Empl. Code Date. Designation Dept. Sec. Name Dept. Sec. Code

Form No. PL:6(OM)

LEAVE APPLICATION
Address while on Leave Leave granted W / Pay W /o Pay Section I/C C/o Village Pin Code

Empl . Code

Name Designation Father's / Husband's Name

Steel Plantech Engg. India Pvt. Ltd. KOLKATA - 700 156

Dept./Sec.Code Dept./Sec. Name

Reason of Leave Leave applied for Nature (Leave) Casual Sick Privilege Days Form date To date

Telegraph Office

Leave due

Date Recommended / rejected due to

Sig./T.I. of Application Sanctioned/Reected due to

Date

Time Keeper

Est. Asst.

Date

Date

Head of Deptt.

Sig./T.I. of Applicant

Name........Designation....Empl Code..Dept / Quarry Code.... has been granted / not granted leave for ........days from...to.with pay / without pay. He must report for duty on.at.....A.M. / P.M. failing which disciplinary action may be taken. Leave refused due to....... LEAVE ORDER NO. Name Empl. Code Date. Designation Dept. Sec. Name Dept. Sec. Code

, MADURDAHA
Post Office Dist.

24 Pgs. South West Bengal

State

Leave recommended for ...days

Date

Medical Officer Leave order reveived

Head of Deptt.

Sig./T.I. of Applicant

y Code: DESIGN

disciplinary action may be taken.

Head of Dept./Manager Received your leave applicaiton Dated________________ Date ________ T.K. / Est. Asst.

Post Office Dist.

State
Leave recommended for ...days

Date

Medical Officer Leave order reveived

Head of Deptt.

Sig./T.I. of Applicant

Dept / Quarry Code.... .with pay / without pay. disciplinary action may be taken.

Head of Dept./Manager Received your leave applicaiton Dated________________ Date ________ T.K. / Est. Asst.

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