S.No Date
1
2
3
4
5
6
7
8
9
10
Original shift
Adjusted shift
Intimation of change in shift duty
I ………………………………………………………. Working in the
department
of
……………………………………..
as
……………………………………….. unable to attend work on
………………………………shift timing from ………………………………………
to ……………………………. And Mr. …………………………….. has agreed
to work for me on this day and time.
Signature of the person requesting change : ……………………………………………………
Signature of the person agreed to attend :………………………………………………………
Signature of the HOD :………………………………………………………………………………………….
velichetibgc@rediffmail.com