FORM - 02: MAPLE Consortium General Consultant For Mumbai Metro Line 3

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MAPLE Consortium

General Consultant for Mumbai Metro Line 3

FORM - 02
STATEMENT OF ABSENCE FROM MAIN / PROJECT OFFICE

Name: _________________________________________________________ AECOM, Padeco, LBG, Egis Rail, MMRC

Position: _________________________________________

Nature of Leave Applied For:

Annual Leave Sick Leave Casual Leave Official Outstation Visit

No. of days applied for: _________________

From: _________________________________ (inclusive) To: ____________________________________ (inclusive)

And From: _________________________ (inclusive) To: _____________________________________ (inclusive)

Prefix: __________________ Suffix: __________________


(Date of leaving) (Date of return)

Reason : __________________________________________________________

__________________________________________________________

Telephone No. while absent : __________________________________________________________

Date: _________________ _______________________________


(Signature of Applicant)

Accepted by the Team Leader Name: _____________________

Signature: ______________________

Accepted by the Project Director Name: _____________________

Signature: ______________________

C/O MAPLE Consortium, MMRCL Line 3 Transit Office, Wing 'B', North Side of City Park, 'E' Block,
Bandra Kurla Complex, Bandra (East), Mumbai - 400 051.

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