Resignation Acceptance Letter Format Employer
Designation______.
(Management)
Signature:________
Date:____________
The Manager,
Falcon’s Agency, Lahore.
strong>Subject: Advance Salary for Christmas
Respected Sir,
Please be informed that I am Henry John working in this organization as security guard since last three years. It is stated that the event of Christmas is nearby and for the celebrations with my family. I am heading towards my village. I have to manage the expenses and being elder in family I have to look after my parents and siblings.
Kindly, grant my salary for the month of December in advance, so that I shall be able to meet expenses in a well manner. I shall be highly obliged to you in this regard.
Thanking you in anticipation
Sincerely,
Henry John
Security Guard.
Date: 27th November, 2014.
The Director,
Falcon’s Agency, New York.
Subject: Advance Loan for Christmas
Sir,
Most respectfully It is stated that an employee (Christian) is working in this organization under the Department of Accounts and their event of Christmas is in this month. For this purpose he has applied for advance loan. The detail of employee is given below:
Victor working as a junior accountant Salary per month: $800.
His working status is satisfactory and due to his personal needs he is requiring a loan of $500 for the month of December. It is requested to adjust the loan amount in next salaries. Attached is the application form for loan. Kindly, consider his request.
Yours Sincerely,
Manager Accounts,
Date: 29 November, 2014
Name:_________
Designation:_________
Company:___________
Subject: Application for Advance Salary (For Christmas)
The Finance Manager,
Falcon’s Agency, Sydney.
Subject: Application of Loan for Christmas
Application For Provision of Bike for Sales Person or application for bike lost . Due to some circumstances. To attain bike/car for official usage. Sample application and can be changed according to use. This letter template can be used for marketing person, delivery man, sales representative and marketing officers.
The Director,
(designation).
___________
(company).
Subject: Application For Provision of Bike (For Sales Person).
Respected Sir,
It is stated that I am_________(name) working in your organization since last year as a Sales Person. I would like to say that I am a competent person and truly sincere towards my work. I have always been a hardworking person.
I want to say that being a sales person I have to do all of work in the market and have to wander. Unfortunately, last week my bike has been stolen. Its been too difficult for me to work without a bike and I can’t afford a new one yet. Being on any other transport system will be unaffordable for me.
It is requested that kindly provide me with a bike for official and company use so that I might be able to work with consideration.It would be a great favor for me.
I would be highly obliged if you will consider my request.
Thanking you I remain.
Yours sincerely,
Name:________
Date:_________
Application for residence/accommodation of security guard within the company. For any junior clerk or guard who want to get accommodation in company. Staff who is not able to afford residence due to low salary package and are from other cities. Sample format for residence in company and can be changed according to use. It can be used as application letter for residence certificate.
To,
The Director,
___________
(organization).
Subject: Application For Accommodation (For Security Guard).
Respected Sir,
It is stated that I am_________(name). I would like to say that I am recently appointed in your organization as a Security Guard. I am from other city and I do not have any residence here . I am alone here and it is difficult for me to survive.
Being a security guard I want you to provide me accommodation within the company. As, the whole day I will on duty here.I will be sincere towards my work and will be pure.
I am not able to afford my residence in this city within my salary package. I request you to kindly provide me accommodation within the company. Only a small quarter or small space would be enough for me. It would be a kind favour for me.
I would be highly obliged if you will consider my request.
Thanking you I remain.
Yours Sincerely,
Name:________
Date:_________
Application for urgent piece of work for employees and professionals. Written body can be changed with respect to circumstances. Sample Leave Application for Urgent Piece of Work is available for free download. You can use this in any case. Application for urgent piece of work for official use. Application to take leave from office if you are unable to come due to some problem or urgent work. Sample application for urgent piece of work.
To,
The Principal,
Kendriya Vidyalaya, Bombay, India.
Subject: Leave application by teacher
Respected Madam,
With due respect, I am English teacher of 10th class at your school. It is humbly requested that I am leaving urgently to home as my son has fallen from the stairs. I have to take him to the hospital right now. There is only my maid present in the house and my son is bleeding. Please consider my application.
Yours Truly,
Mr. Vihaan Chaterwadi,
10th December
To,
The Principal,
Himalaya International school,
Bombay, India.
Sub: Leave for urgent piece of work
Respected Sir,
It is to be respectfully stated that I have an urgent piece of work at home due to which I would not be able to make it to school. I have to complete some important chores and go to airport to receive my cousin who is coming from Netherlands. My mother is also not home which doubles the pressure. The entire house burden is on me and I have to take care of each major to minor issue. Due to these uncalled circumstances, it is really important for me to take a leave from office for a day. I have not taken any additional leave for whole month.
I understand the work load is too heavy at the moment in office but I assure you that my part of work would be done by my colleague and there will be no over work pending. I request you humbly to approve my leave as par the condition.
Yours Truly,
Praachi Anmol,
To,
Manager,
Human Resource Department,
Alfalah Laboratories.
Respected Sir,
It is stated that although I tried to avoid any reason to seek leave yet it so happens that I will be unable to make it to work for the following few days. I would be obliged if you can grant me leave and assist me in my time of need since it is an urgent personal problem.
My tasks will be completed by my colleague Mr Hannay in my absence. I have also made sure that my email is on automatic response setting so that any communication is not lost and I shall be able to respond to these emails after my return. I shall return as soon as possible and will work as diligently as I have for as long as I have been associated with this company. I shall be grateful for this favour.
Yours Sincerely,
Albert Johnn
To
The Operational Manager,
Sunbath Bank of London (private) Limited,
London, United Kingdom.
Subject: Leave Application for urgent work
Respected Sir,
It is to state with much concern and urgency that I was working on my routine matters in my office fifteen minutes before when I received a call from my home. The call distracted me badly and the problem was of very grave matter and I am sorry that I cannot disclose the issue that erupted at my home in a shocking way. I hope you will understand the sensitive nature of this case as I had to rush towards my home before the matter becomes even worse!
Kindly grant me the permission of leaving the office and I had instructed my co partner to handle my cases as well. Thanking in anticipation.
Yours Truly,
Mr. Shekel Sawyer,
The Concerned Person,
ABC Organization.
Subject: Leave Application for Urgent Piece of Work
Respected Sir,
This is to inform you that I’m in need of a leave for a day as I’ve severely indulged into some sort of urgent work at my home. I am seeking for your kind acceptance for this proposal of leave. I hope that you will understand and sanction me leave for 28th May, 2021. I shall be utterly obliged enough.
Thanking you I remain.
Sincerely,
Name:————-
Designation:————–
Signature:—————
Date:———————
Dear Sir,
With utmost esteem and respect, this is to inform you that I am on leave today on account of urgent basis. The reason is, I have to deal with some personal matters and house chores of mine which are pending since long and I didn’t have a day off in the previous week as well. Kindly grant me to avail today’s leave. I shall be obliged for this.
Thanking you in anticipation.
Yours Truly,
Tania
Receptionist
The Manager,
Falcon’s Agency, Lahore.
Subject: Urgent piece of work for office
Respected Sir/Mam,
It is stated that I am ________ (name) working in your organization as a________(designation). I want to inform you that as per my schedule our meeting was held today. But due to some unfavorable circumstances I won’t be able to attend that as I have an urgent piece of work at home and due to that I shall not come today. Kindly sanction me leave for a day. I shall be obliged.
Thanking you I remain,
Yours Sincerely,
Name_________
The
Director,
Aitchison College
Subject: Urgent piece of work
Respected Sir/ Madam,
Humbly request to spare your precious time to pay heed to my plea. I could not perform my commitments to the institute because of a very grave matter of personal nature that I regret to disclose but I look forward for your kind approval of my absence from my duties from ___________ to _____________.Kindly consider my plight and grant me the said leave/s. I would be brimmed with gratitude if you see to it.
Thanking
Yours Sincerely,
Sana Shahid
Coordinator Senior Branch
Dated: _______ _____________
The Manager,
Holidays Inn.
Subject: Application for Urgent Piece of Work
Respected Sir,
Please be informed that I am not able to come to office for a day owing to some urgent work at my home. I regret to inform, but unfortunately I also won’t be able to attend the Administration Meeting as well. I understand, that it seems very unofficial to quit at the last moment but I am surrounded by such sudden circumstances. I am abashed for this but I request you to sanction me leave for 3rd June, 2021. I hope you will consider my request.
Thanking you in anticipation.
Yours Truly,
Tina Singh.
Assistant HR.
To,
The Manager,
Febcot international
Subject: Urgent Leave Application
Respected sir,
Most Respectfully, it is stated that my father was in hospital for the last 7 days. Doctors were taking all the necessary tests to identify the disease. Today I have received a call from the doctor about half an hour ago. He said that my father will have an operation of by-pass and he should be operated within a day or two. He also told me that there are lack of facilities in their hospital branch in which my father is admitted. That’s why my father has to be shifted to their branch in Islamabad.
As I am the only person to handle him so I request you to grant me a leave for 4 days. I had completed my pending assignments and also the upcoming works. I will be very thankful to you for accepting my leave.
Yours Truly,
Patel
August 15, 2021
Dear Sir,
This is to inform you that I am not able to come to office today as I have to meet agent for renewal of my passport. As my concern is urgent so I request you to please grant me leave for today. I shall be highly obliged in this regards.
Thanking you.
X.Y.Z
To,
The Director
Company Name———–
Address ——-
Subject: Urgent Leave Application
Respected Sir,
It is stated that I ___ (Name) ___of Marketing Department at Rehman Foundation. I have an urgent piece of work at home. Therefore I will not be able to attend the office during schedule. Kindly grant me leave for 3 days i.e. 12th, 13th and 14th May.
To,
The Principal,
Beacon House School System, Lahore.
Subject: Urgent piece of work
Respected Madam,
It is stated that, I am Class teacher of 8th grade. I want to inform you that today is the annual result of my elder son and his father is working in Islamabad. Therefore, I would like to attend parent teacher meeting regarding educational values of my son. I shall not be able to come school today due to urgent task. Kindly grant me leave for one day. I shall be very thankful to you for your cooperation.
Yours Sincerely,
Name:________
Date:_________
Signature:___________
Respected Madam,
It is stated that today, I am going to open an account in bank, therefore I need short leave from 8.30 am to 10.00 am after getting free I will come back to school. Kindly arrange substitute teacher for my two periods. I hope you will consider my short leave for urgent necessary matter.
Much obliged,
Mrs. Rana Shah.
Signature:________
Date:____________
To,
The Director,
Falcon’s association, Lahore.
Subject: Leave application for urgent work
Respected Sir,
This is to inform you that I am working as Event Organizer in this organization, I was going to host the annual dinner program of the company this Saturday. Unfortunately, I have to attend an important business workshop on the same day and I am travelling to Canada tomorrow. For this I would not be able to accompany the event. I hope you will consider the matter urgent and grant me leave for three days. I would be obliged.
Thanking You I Remain.
Respected Sir/Madam,
It is stated that I am assigned to arrange a meeting today with all the stake holders of our company. I regret to inform that I have an urgent piece of work, as my mother is admitted in hospital and I am the only person to look after her. I am not able to attend the entire session as well as I cannot handle the arrangements. I shall be highly beholder of you if you grant me leave for today.
Thanking You in Anticipation.
Sincerely,
Akbar Khan.
Event Manager.
The Manager,
Falcon’s Association.
Subject: Application for Leave
Respected Sir,
It is stated that promptly I have come to know about an emergency accident of my friend. He is admitted in hospital and his condition is really critical. As, he is the only brother in his family I have to go as soon as possible. I request you to kindly grant me leave of 2 days on emergency basis as I have to travel out of station. I shall be extremely obliged to you.
Thanking you in Anticipation.
Sincerely,
A.B.C
The HR Manager,
Falcon’s Association.
Subject: Application for Urgent Piece of Work
Respected Sir,
It is to state that I am Eva James working as intern in Planning and Development Department in this worthy organization. This is to inform you that I have got a really urgent task at home and owing to that I am not able to come today. I apologize as I had my presentation today, I will deliver it tomorrow for sure. Kindly, sanction me leave for today. I shall be extremely beholden.
Thanking you in anticipation.
Sincerely,
Eva James
Intern in P&D Dept.
Contact:000-000-000.
To
The Principal
Vivekanand Sr. Sec. School
Jalore
Date : 24 June 2022
Sub – Leave application for urgent work
Sir,
I hereby want to inform you that I have an urgent piece of work at my home. So I am not able to attend the school. Hope you will understand my situation. Please grant me leave on 25th June. I will be grateful to you.
Thanking you
Yours faithfully
Aarav
class 11th
To
The Principal Tilak Sr. Sec. School
Alwar
16 June 2022
Sub – Leave application
Sir,
I beg to say that I am Ragini Sain student of class 4th in your school. I am unable to attend the school tomorrow due to some medical emergency. Kindly grant me leave for one day, I will be grateful to you.
Thanking you
Yours faithfully
Ragini
4th B
To
The Principal
Jhunjhunu Academy
jhunjhunu
24 May 2022
Sub – One Day Leave Request for urgent work
Sir,
With due respect, I am Vishal, a student of class 5th in your school. I want to say that I have got some work at home today. Last night suddenly my parents decided to do a pooja at home. So I could not attend the class today. Kindly grant me leave for one day.
Thanking you
Yours faithfully
Vishal
Class 5th
Roll no . 28
To
The Principal
Adarsh Sr. Sec. School
Dausa
18 march 2022
Sub – Leave application
Sir, I beg to say that I am Ayushi, a student of class 7th in your I am unable to attend the school tomorrow due to an unexpected medical emergency. I hereby request you to grant me leave on
18 March for one day.
Thanking you
Yours faithfully
Ayushi
Class: 7th
Roll No.38
To
The Principal
JK Modi Sr. Sec. School
Hisar
23 march 2022
Sub – Request for Leave Due to Urgent Piece of Work
Sir,
With due respect I want to inform you that I am a student of class 8th in your school. I have an urgent piece of work at home . I Could not come to school tomorrow.
So , kindly grant me leave for one day.
Thanking you
Yours obediently
Shanaya Soni
8th B
Roll no. 31
To
The Principal
Star Academy
Tonk
23 march 2022
Sub – urgent Piece of work Leave for 1 day.
Sir,
With humble request, I beg to say that I can’t access the school today due to some urgent work for which I would have to stay at home.
Kindly grant me one day leave on 23 March 2022. I will be thankful to you
Thanking you
Yours faithfully
Abha Vyas
Class: 10th B
To
The Principal Bright Brain Academy
Nagore
25 June 2022
Sub- Request for Leave Due to Urgent Piece of Work
Sir,
With due submission I beg to say that last night my mother fell down from stairs and got a fracture in her leg. She is admitted in hospital. So I need leave for this urgent work.Kindly issue me leave on 25th June.
Thanking you
Yours faithfully
Abhay singh
Class XI
To
The Principal Tilak Sr. Sec. School
Tonk
21 May 2022
Sub- Request for Leave Due to Urgent Piece of Work
Sir,
With kind respect it is stated that I am Neeraj student of class 12th in your school. I am really sorry to inform you that my younger brother had an accident and got injured. So I am unable to attend the school. Considering my situation I request you to grant me leave of one day on 22 May.
Thanking you
Yours faithfully
Aarti
class 12th A
To
The Principal Alok Sr. Sec School
Jabalpur
21 march 2022
Sub – Urgent work Leave
Sir,
With humble request I beg to say that I am Aditi Poonia, History lecturer in your school. Last night, suddenly my pet got sick and I had to take my pet to the veterinary doctor so I am unable to come for school today.
I assure I will recover all my work. Kindly grant me leave for today.
Thanking you
Yours faithfully
Aditi Poonia
History Lecturer
To
The Manager Polycon Pvt. Ltd.
Gurgaon
18 June 2022
Sub – Request for Urgent Piece of Work Leave
Sir,
With humble request, this is to inform you that I would not be able to come for office tomorrow because for some reason my son’s health has worsened. So I need to visit the doctor. I will recover all my office work.
Kindly accept my leave for tomorrow 19th June. I will be obliged to you.
Thanking you
Yours truly
Aman Rana
Application for the post of principal sample/ Job Application for the post of co-coordinator in any private institute. This is sample application format for vice principal applying in any institute/school/private college etc. Can be used by teachers and people going to apply for any specific post. Can be used for applying in various institutes with same pattern. Changes can be done as per requirement.
To,
The Director,
___________ Institute.
Subject: Application For The Post of Principal in school or college
Respected Sir/Mam,
It is stated that through some reliable sources I have come to know about the vacancy of Principal /Co-coordinator/ Vice Principal in your institute. The criteria along with qualification is according to experience. I think myself eligible against the respective post.
I have dome M-Phil in Physics along with M.A in English from Punjab University. I have eight years experience of teaching in a private institute and I have working experience as a co-coordinator for Five years as well. I have been the principal of Educators School System for three years. As, I am looking for more better options in future, and my experience is as per your requirements. I am a competent person along with intellectual working skills.
I assure you that If you will provide me a chance I will definitely try to meet your expectations. As, I am a capable person and having a lot of experience within this field, I shall be looking for a positive response. My curriculum vitae along with my documents is attached with the application.
I would be highly obliged if you consider me eligible for the post.
Thanking you I remain.
Yours sincerely,
Name:________
Date:_________
To,
The Director/Secretary….
Institute name….
Address…….
Subject: Application for the Post of Principal in school or college
Respected Sir,
It is stated that through some reliable sources (News paper/Online Portal) I have come to know about the vacancy of Principal /Co-coordinator/ Vice Principal in your institute. The criteria along with qualification are according to experience. I think for myself suitable against the particular post.
I have dome (Degree name: M-Ed/M-Phil) in (Subject name…) along with MBA/M.A in (Subject name…) from (University Name…). I have eight/ten years experience of teaching in a private institute and I have working experience as a co-coordinator for Five years as well. I have been the principal of (Institute name…) for three years. I am a competent person along with intellectual working skills.
I pledge you that if you will provide me a opportunity I will certainly try to meet your potential. As, I am a capable person and having a lot of experience within this field. I shall be looking for a positive response. My curriculum vitae along with my documents are attached with the application.
I would be highly grateful if you consider me suitable for the post.
Yours sincerely,
Name….
Contact no….
Sample Cover Letter for Marketing position. People who have done BBA or MBA or related field of study can us it. Cover letter for the post of Marketing officer, cover letter for manager post position etc. Cover letter for any advertised post. Can be used for applying in various organizations with same pattern. Can be altered according to requirements. It is a sample format of cover letter and you can use it as per requirement basic information can be changed like qualification, experience, designation.
Designation_______
Company Name_________
Address__________
Subject: For The Post of Marketing Officer. (Advertised Post)
Dear Sir/Madam,
I saw your advertisement in ‘The News’ on 12th May, 2014, vacancy is available in your organization for a marketing person.I have recently completed my MBA from ________ (institute). Along with this I have done internship in valued organization like Engro foods and Unilever. As, I have completed my degree I am looking for a well defined job where I can utilize my working skills.
I have related qualification and experience as per your requirements. Getting a chance of working in your organization would be a great experience for me. I assure you to keep my work up to date, I have capabilities of marketing and I am good in communication skills as well. Being in your organization will be splendid platform for the beginning of my career. My consideration and sincerity will be always towards my work.
I would comply my job requirements with my working skills. My documents and resume are along with letter showing all the academic and other records. I hope that you will consider me for the post and I shall be looking for a positive response.
Yours Sincerely,
Name:________
Date:_________
Its a sample application for maintenance of officers accommodation due to some bad material or other reason, they want to repair all setup. For repairing the accommodation/house/residence/flats etc. An official order for private and government employees.
To,
Maintenance Incharge.
Subject : Officer’s Accommodation
Bungalow No _______________
1. Reference is made to letter No ________ dated _______________
2. It is apprised that subject bungalow was allotted to undersigned vide above referred letter. After the handing and taking over of the house, it was highlighted a number of times through maintenance department complaint that the roof top of the subject bungalow is detoriating day by day due to heavy rains of Moon Soon, resulting in heavy seepage and fungus development in all rooms especially drawing and dining rooms. Till date no construction work has been done to repair the roof and rooms.
3. Forgone in view, it is requested that concerned staff may be directed for repair and fresh distemper of house especially drawing and dining room. Telecon between Officer Work’s maintenance department and undersigned also refers in this regard.
4. Submitted for favorable actions.
(Malik Mehboob Jillani)
Program Manager
Dep: Production Department
Tel Ext: 456
Copy to :- GE Maintenance : For information and necessary actions
Dear Sir,
The floor (you can mention any other requirement) in our branch is getting very bad. Which doesn’t make the office look good. You are requested to do the repair work immediately. I will be grateful to you.
Sincerely Yours,
Your Name
Dear Sir,
Our office hasn’t been repaired in a long time. And now, from the paint to the walls, the tables and chairs have deteriorated. And the floor is in ruins. At the same time, the power buttons do not work and some ACs and fans are also not in working order. In short, the office is in a very bad state and required immediate maintenance.
You are requested to approve all renovation work in our office immediately. So that employees and customers do not have any problems. I will be thankful to you.
Sincerely Yours,
Your Name
Dear Editor Of The Daily News,
I am writing to you because I would like to inform you of the conditions of this site. I am one of your writers, and I am based at the small office on the city’s outskirts. The condition of this office is very bad. For one, we have no heating, and it is the middle of winter. We have no running water, and the walls are filthy and disgusting.
Now, this is a small office, and we don’t deal with the public like the other offices, but we deserve the same treatment as the different offices and have all the benefits they have. For example, we would like to have clean water that we can drink and heat so that we can write with warm fingers. We would also like to redecorate the walls so that we can have a nice environment to work in.
I hope that you will consider this, and grant us this so that you will have some pleased workers.
Kind regards,
Your Name
The Manager Administration,
Indiana, USA
Subject: Complete maintenance of our company office in Dallas
Dear Sir,
It has been observed that we are losing sales because people avoid coming to our office because of its deteriorated condition. Quite unfortunately, we are receiving complaints from our clients about the quality of our work environment. We are trying to maintain with what little funds we have, but that does not suffice it all. To meet that market standard our office needs complete renovation. Outer walls are dusty; floor tiles are uprooted or broken from some places; rooms need whitewash, and so forth.
A well-estimated sum of $15000 is required for our office maintenance. This estimate is jointly prepared by our administration and accounts department. All details and prices are noted after thoroughly surveying the market.
Your kind approval will benefit the organization in terms of sales, services, and customer satisfaction. A detailed sheet is attached with this request letter so that you can analyze it.
Best Regards,
Robert Williams
Assistant Manager Administration
Dear Manager;
As Department Head of logistics, I would like to brief you on the present infrastructure condition of the office along with the changes which are required. In these past six months, the number of broken chairs was 13, and broken desks were 3.
At the present moment, we have many faulty desks, and chairs which I cannot send for repairing due to very few replacements. The walls are also scratched from many areas, and paint has started to fall off from the corner which gives a quite bad image to someone who enters our office despite very latest technology provided to the clerks to work on. The waiting area is also not very pleasing as it has been long since we worked on the appearance of our office. Furthermore, I was told that there would be a visit from CEO next month so I think we should maintain our office before that.
Therefore, I request you to grant me permission and funds for our office’s renovation and maintenance. If you approve of this, I will send you a letter regarding all the required changes.
Best Regards;
Ali Haider
Head of Logistics
Dear Manager,
I sent this application requesting the cleaning of the water tank which supplies water to the IT Department. For three days, the water which flows in the washroom is not as clean as it used to be, and its color has also turned slightly brown, probably due to the dirt or dust present in the tank. In addition to this, the water which is present in the office is also the filtered water from the tank, so I am afraid that the intake of this might sicken the employees.
I request you to kindly approve my application and solve this issue as soon as possible. I would be grateful to you.
Best Regards,
Ali Noor
IT Department In-charge
To,
The Principal,
___________ Institute.
Subject: Scholarship Application (For Abroad).
Respected Sir,
It is stated that I am ________ (name) and I have recently completed my Bachelors Degree in _________ (subject) from _______ (institute). I have always been a competent student and a position holder. In my Bachelors. I attained ‘Gold Medal’ and stood topper of my batch. My academic record is full of my achievements. I am a versatile student along with academics I have been good in curricular activities and gained merit certificates.
For my higher studies, I want to take admission in a valuable institute like yours and can prove myself to be an asset.I would like to tell you that I fall on merit in your university, and my name is in the first list. I want you to provide me with scholarship. Being a good student I want my knowledge not to get wasted. I want to study in your institute on basis of scholarship as me and my family is not in a position to afford the fee and my visa.
Kindly grant me scholarship fund so that I might be able focus on my studies and will prove myself to be a hardworking student. It would be tough time for me to come abroad but once if I get chance I shall definitely cope up.
I would be highly obliged if you consider my request, it would be a life time favor for me and I shall be grateful to you. I shall be looking for a positive response.
Thanking you I remain.
Yours sincerely,
Name:________
University Name:____________
Residence Address:_________
Email:___________
Date:_________