Form of Application For Leave S.R.-1: Director of Audit, Defence Services, Meerut

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FORM OF APPLICATION FOR LEAVE S.R.

-1

Director of Audit, Defence Services, Meerut

NOTE: Items 1 to 11 must be filled in by all applicants whether gazetted or non-gazetted.

1. Name of applicant :______________________________________________________

2. Post held :______________________________________________________

3. Department, office and section :______________________________________________________

2. Pay :______________________________________________________

5. House rent allowance, conveyance allowance, or 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. Ground on which leave is applied for :______________________________________________________

9. Date of return from last leave, and the nature and period of that leave.:_____________________________________________________

10. I proposed/ do not propose to avail myself of Leave Travel


Concession for the block years __________ during the ensuring leave.:_____________________________________________________

11. Address during leave period :_____________________________________________________

Date : __________________________ Signature of applicant :______________________________________

12. Remarks and/or recommendation of the Controlling Officer


Date : __________________________
Signature : __________________________

Designation : _________________________

Certificate Regarding Admissibility of Leave


13. Certified that_____________________for______days _____from_______to_______is, admissible under rule___________of
the C. C. S. (Leave) Rules,1972
Date : __________________________
Signature : __________________________

Designation : _________________________
14. Orders of the sanctioning authority :-
Date : __________________________
Signature : __________________________

Designation : _________________________

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*If the applicant is drawing any Compensatory allowance, the sanctioning authority should state whether on the expiry of leave he is likely
to return to the same post or to another post carrying a similar allowance.

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