EL Form
EL Form
EL Form
1
S.R.-1
3. Post held-
4.
Department, Office and Section-
5. da Pay-
6.
7.
Nature and period of leave applied for and date from which required.
8.
Sunday and holidays, if any proposed to be prefixed / suffixed to leave.
Date of return from last leave, and the nature and period of that leave.
12.
(a) I undertake to refund the difference between the leave salary drawn during leave on
average pay/ commuted leave and that admissible during leave on half averagepay! hatf
pay, leave, which would not been admissible had the provison to FR. 81 (i) rule (i) of
the Revised Leave Rules, 1933 not been applied in the event of my retirement from
service at the end or during the currency of the leave.
l undertake to refund the leave salary drawn during leave not due which would not have been
(b) admissible had F.R. 81 (c) Rule Il (d) of the Revised Leave Rules 1933 not been applied, in
the event of my voluntary retirement or resignation from service at any time until l earn half
of by
pay leave not less than the amount of leave not due availed
me.
Date **********
Signature of Applicant....
13.
Remarks and / or recommendation of the Controlling Officer.
14. *************
**************** ***********************e********e********e********sse**
for * Om.....*.e*aseroesoavessssooroo**i..lO.aus..
O/Date. ° * * * * * * * * * * * ° ° ° ' * °
FI/Signature....************"
T4H/ Designation..
15.
Order ofthe sanctioning authority
If the applicant is drawing any compensatory allowance, thesanctioning authority should state
whether on the expiry of leave he is ikely to return to the same post or to another post carrying a
similar allowance.