Leave Authorization Form

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Leave Authorization Form
Q1) Name of an applicant ____________________________
Q2) Address of an applicant: ______________________________________________________
Q3) Contact Number ________________________
Q4) Email ID _____________________________________
Q5) What is the reason for leave? _____________________________________
Q6) What will be the period of your leave? From Date _____________ to Date _____________
Q7) Have you taken any leaves lately? (If yes specify the purpose and period of leave)
__________________________________________________________________________
Q8) Name of the concerned authority who will grant the leave: __________________________
Q9) Name of the person to take ownership in case of your absence: _______________________
Q10) If you are going out of station then provide the address of the concerned location
_________________________________________
Q11) Signature of an Applicant: ____________________________
Q12) Date: ___________________ Q13) Place: __________________________
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