Application For Earned Leave/medical Leave printable pdf download

Application For Earned Leave/medical Leave

Application For Earned Leave/Medical Leave

1. Name of applicant_______________________________________________________

2. Present Post held________________________________________________________

3. Department____________________________________________________________

4. Present Pay____________________________________________________________

Nature and period of leave applied for and date from which

Required______________________________________________________________

6. Sunday and holidays, if any proposed to be Prefix / Suffix to

leave_________________________________________________________________

7. Purpose for which leave is required_________________________________________

8. Date of return from last leave______________________________________________

9. I proposed / do not proposed to avail myself of leave travel concession for the Block

year__________________________________________________________________

10. Leave address__________________________________________________________

____________________________________________________________________________

Signature of the applicant with date

Remarks and Recommendation of controlling

officer_______________________________________________________________

Signature with date and Designation

Estt.Section(CUL)

Application For Earned Leave/medical Leave