S/No Date of Request* DD dash MM dash YYYY Full Name* Passport No* Employee ID* Designation* To;HR Department I herewith request to release my passport and I undertake to return it on the promised date. Incase I fail to retrun the same to you within the specified time the Company has the right to take appropriate action. Reason for Request*SelectVacationPassport RenewalConsulate WorkEmergency LeaveBanking PurposeOthersSpecify if others* From Date* DD dash MM dash YYYY To Date DD dash MM dash YYYY Number of DaysRequest Approved ByReporting Manager / HOD* HR Manager* CEO & MD* Passport recevied by* On Passport Return Remarks: The original passport received back on :------------------------. Signature: For HR & Administration Δ