This document is an application for leave or extension of leave. It collects information such as the applicant's name, post, department, pay, current leave allowance, type and period of leave requested including start date, proposed weekends attached to the leave, reason for leave, details of previous leave, proposed use of LTC during leave period, address during leave, remarks from the controlling officer, certification of admissibility of leave type and period according to rules, and space for orders from the leave granting authority.
This document is an application for leave or extension of leave. It collects information such as the applicant's name, post, department, pay, current leave allowance, type and period of leave requested including start date, proposed weekends attached to the leave, reason for leave, details of previous leave, proposed use of LTC during leave period, address during leave, remarks from the controlling officer, certification of admissibility of leave type and period according to rules, and space for orders from the leave granting authority.
This document is an application for leave or extension of leave. It collects information such as the applicant's name, post, department, pay, current leave allowance, type and period of leave requested including start date, proposed weekends attached to the leave, reason for leave, details of previous leave, proposed use of LTC during leave period, address during leave, remarks from the controlling officer, certification of admissibility of leave type and period according to rules, and space for orders from the leave granting authority.
This document is an application for leave or extension of leave. It collects information such as the applicant's name, post, department, pay, current leave allowance, type and period of leave requested including start date, proposed weekends attached to the leave, reason for leave, details of previous leave, proposed use of LTC during leave period, address during leave, remarks from the controlling officer, certification of admissibility of leave type and period according to rules, and space for orders from the leave granting authority.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
You are on page 1of 1
SR-I
Application for Leave or Extension of Leave
1. Name of the applicant :
2. Post held :
3. Department, Office and Section :
4. Pay :
5. House rent and other compensatory
Allowance drawn in the present post :
6. Nature and period of leave applied for
and date from which required :
7. Sundays & Holidays, if any proposed to
be prefixed/suffixed to leave :
8. Grounds on which leave is applied :
9. Date of return from last leave and the
Nature & period of that leave :
10. I propose/do not propose to avail myself
LTC for the block years………. During The ensuing leave :
11. Address during the leave period :
Date ……………………….. Signature of the Applicant
12. Remarks and / or recommendations of
The Controlling Officer :
Signature & Designation
CERTIFICATION REGARDING ADMISSIBILITLY OF LEAVE
13. Certified that ……………………………………………. (Nature of Leave) for ………… days
from ……………. To ……………………. is admissible under rule ………………………… of the CCS (Leave) Rules 72.