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Indian Institute of Engineering Science and Technology, Shibpur

This document is an application for earned leave submitted by Dr. Prithwish Kumar Das, an Associate Professor in the Aerospace Engineering & Applied Mechanics department. He is applying for 3 days of earned leave from March 21-23, 2018 to accompany a family member for an extended medical checkup. His last leave was 3 days of earned leave from November 22-24, 2017. The application requires approval from the Dean of Faculty Affairs.

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Prithwish Das
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44 views1 page

Indian Institute of Engineering Science and Technology, Shibpur

This document is an application for earned leave submitted by Dr. Prithwish Kumar Das, an Associate Professor in the Aerospace Engineering & Applied Mechanics department. He is applying for 3 days of earned leave from March 21-23, 2018 to accompany a family member for an extended medical checkup. His last leave was 3 days of earned leave from November 22-24, 2017. The application requires approval from the Dean of Faculty Affairs.

Uploaded by

Prithwish Das
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INDIAN INSTITUTE OF ENGINEERING SCIENCE AND TECHNOLOGY, SHIBPUR

Application of Leave /----------------------------------------


Extension of Leave for
Earned Leave/ ------------------------------------------------------------------
Half-Pay Leave/ Commuted Leave
To: Dean, Faculty Affairs / Dean, Administrative Affairs
-----------------------------------------------------

1. Personal File No.: 3. Designation : Associate Professor

Dr. Prithwish Kumar Das 4. Department : Aerospace Engineering & Applied Mechanics
2. Name :
5. Telephone No.: 9433429156

6. Leave applied for: From : 21/03/2018 To : 23/03/2018

7. Nature of Leave: Earned Leave 8. Purpose : Extended Medical Checkup for Family Member

Last Leave availed Earnrd Leave: 22/11/2017 to 24/11/2017 (Three days)


Joind on: 27/11/2017 forenoon
(including Date of
9. Availing L.T.C.
Joining and Nature
of Job) :
Whether Station Leave If yes, mention
10. No
required (Yes / No) (India / Abroad)

11. Address during Leave : 53/A Harish Mukherjee Lane, Bhadrakali, Hooghly - 712232

Signature of the Applicant

---------------------------------------
The absence of the incumbent will not hamper the normal works/classes of the Department/School/Center concerned.*

Signature of Head of the Department/In-Charge of Section


-----------------------------------

* not applicable for leave on Medical Ground

(To be used in Administration Section)

The following leave is due on :

Following leave on the basis of the recommendations of the Head of Department/In-charge of Section may be sanctioned.

Balance of Leave : EL ► HPL ►

Sr. Superintendent / Assistant Registrar Dealing Assistant

Dean, Faculty Affairs / Dean, Administrative Affairs


Designed by Arindam Banerjee, Jr. Assistant

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