I have Attached Employer No Objection Certificate
No Objection Certificate / Permission Form
Please use this form to request for permission to use or quote from already published in your work.
Please return the request form to:
I am preparing the following work to be published:
Book ISBN and Title: __________________________________________________
By Narosa Publishing House Pvt. Ltd, 22 Daryaganj, Delhi Medical Association Road, New Delhi–110 002, INDIA.
I request your permission to include the following material in this and in all subsequent editions of this work to be published by Narosa Publishing House Pvt. Ltd., for distribution throughout the world, in all media including electronic and microfilm and to use the material in conjunction with computer based electronic and information retrieval systems, to grant permissions for photocopying, reproductions and reprints, to translate the material and to publish the translation, and to authorize document delivery and abstracting and indexing services.
Book / Journal Title: _________________________________________________
Author / Editor(s): ___________________________________________________
Volume Number: ________________________________________________________
Year of Publication: __________________________________________________
Description of Material: ______________________________________________
I have applied for a real estate loan to be made by Chambers Savings and Loan Association.
I shall appreciate your completing the Employer’s Verification below for their confidential use and
Forwarding it to: –
Chambers Savings and Loan Association
1304 74th Circle N.E.
St. Petersburg, Florida 33702
Thank you for your consideration and prompt reply, as it will avoid many delays.
Very truly yours,
1. Entered your employ:________________________________
2. Present Position:____________________________________
3. Present Monthly Salary: Gross Monthly Salary:_____
Bonus or Commission:______
4. If Applicant is in Military Service please report income on a monthly basis as follows:
Base Pay_________ Quarters and Subsistence___ Flight or Hazard Allowance____________
5. Probability of Continued Employment__________________
6. Does Employee have Re-employment rights for:
Sick Leave?______ Maternity Leave?_________
7. Other Remarks:_______________________________________
The above is furnished in strictest confident to your request.
Memorandum of Understanding (MOU) or contract or agreement format between Employee and employer.
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