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Page 1: Vacation Approval

UNISAFE ~ PROTECTION SPECIALISTS LLC

FIRE rR.OTECTION 5rECtALJSTS LEAVE APPUCATION LEAVE ENCASHMENT

DATE l 25.09.2014 NAME :EDWIN PETER PAUL

STAFF# I I Date of Joining : 05.12.2012 I Designation: SITE ENGINEER jDepartment I Site Name: DESIGN

Head Of The Department Name : MR. DHARANENDRA Relievin.ll: personnel Name:

LEAVE REQUESTED I FROM 21.12.2014

NOOFDAYS 126 I To 15.01.2015

REASONFORLEAVEIENCASHMENT Annual Vacation

CONTACf DETAILS WHLE ON LEAVE TELEPHONE I ADDRESS MOBILE I +91 9486144499 43122 KULASEKARA NATHER KOVIL STREET, TENKASI, TIRUNELVELI (DIST.), TAMIL NADU- 627811

EMAIL I Edwinl2dnso' be@:tahoo.co.in

I UDdartab that, lfl do not IUIIDd office em the approved~ dl:dw:tiOD solely depends on the IJscretion of the compmy. I ./

~ 9-ili ·· ~ ~ 1}~(1h' - ..-: SIGNATURE OF AnLICANT JfECOMMENDBD BY HOD v FINAL APPROVAL BY GM/CEO/MD

'-foR THE USB OF PAA DEPI'

BALANCE LEAVE TO InS I HER CREDIT I DAYS AS ON T I I LAST LEAVE AVAILED FROM

JOINED BACK ON I I NEXT AIR TICKET DUE ON I I DATE OF RESUMING I I SIGNATURE OF P&:A OFFICER

APPROVALS

ENCASHMENT I LEAVE SANCTIONED

FROM I I I TO I I I SIGNATURE OF APPROVING AUTHORITY

LEA VB DUES CALCULATION DUE MONTH- PLEASE ATTACH COMPUTATION SALARY OT TOTAL l

2 3 LEAVE SALARY I I AIRFARE

ASOF I I

OTHERS- PLEASE NOTIFY

GRAND TOTAL

ACCOUNTANT RECEIVED DUES STATED ABOVE Leave Application Fonn I Revised on I I LA0001-R3

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