To, TINITA ENGINEERING PVT. LTD. R-266, Rabale MIDC, Navi Mumbai -400701 LEAVE APPLICATION Sl. No.: Date: ________________ Name of Applicant: - PRATIK KAREKAR Designation : SR. QA/QC ENGINEER Dept. QUALITY Regn.No._____________________ Nature of leave applied for : __________________ Leave asked for ________ Day’s from ____________ to ______________ Reason for leave: - ___________ Date: - _____________ Signature of applicant Leave for __________ days as asked may be sanctioned / not sanctioned. ____________________ Dept. Head / Engineer LEAVE RECORD Nature Of Leave Balance Leave asked for FOR OFFICE USE ONLY Leave for _____________ days as asked above is sanctioned / not sanctioned. Date: - Director/ Authorized Signatory