APPLICATION FORM FOR EARNED LEAVE OR EXTENSION OF …
CSK Himachal Pradesh Krishi Vishvavidyalaya, Palampur (HP)
APPLICATION FORM FOR EARNED LEAVE OR EXTENSION OF LEAVE
|1. |Name of applicant |: | |
|2. |Post held |: | |
|3. |Department, Office and Section |: | |
|4. |Pay |: | |
|5. |House Rent and other Compensatory allowances drawn in the present |: | |
| |post | | |
|6. |Nature and period of leave |: |Earned Leave/Commuted Leave |
|7. |Number of Days & date from which the leave required | |Number of Days: | |
| | | |FROM | |TO | |
|8. |Sunday, and holidays, if any proposed to be prefixed/suffixed to |: |PREFIX: | |
| |leave | | | |
| | | |SUFFIX : | |
|9. |Grounds on which leave is applied for |: | |
|10. |Date of return from last leave and the nature and period of that |: | |
| |leave | | |
|11. |I propose/do not propose to avail myself of leave travel concession|: | |
| |for the block years___________________________ | | |
|12. |Address during the leave period |: | |
| | | | |
| | | | |
| | | |Signature of applicant |
| | | |(With date) |
| | | | |
| | | | |
| | | | |
| |Phone No. | | |
13. Remarks and or recommendation of the Controlling Officer.
Signature/Designation
(With date)
CERTIFICATE REGARDING ADMISSIBILITY OF LEAVE
14. Certified that ____________________ for (Nature of Leave) ___________________ (period) from________ to______________ is admissible under Leave Rule 7.21 of CSKHPKV Statutes 1988.
Signature/Designation
(With date)
15. Orders of the competent authority to grant leave
Signature/Designation
(With date)
-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.
If the applicant is drawing any compensatory allowance, it should also be indicated in the orders on the expiry of leave, the Government serving similar allowance.
For Office Use Only:
|Opening Balance of Leave | | |=Days |
|Leave earned |from | |to |
|Leave Applied/Taken | | |=Days |
|BALANCE on return from Leave | | |=Days |
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