Form Of Application For Leave
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FORM OF APPLICATION FOR LEAVE Note:- Item 1 to 10 must be filled in by all applicants whether Gazetted or Non-Gazetted. 1.
Name of the Applicant
:
2.
Leave rules are applicable
:
3.
Post held
:
4.
Department/ Office and Section
:
5.
Pay
:
6.
House rent allowance, conveyance : allowance or either compensatory allowance drawn in the present post.
7.
Nature and period of leave applied for and : date from which required
8.
Sunday and holiday, if any proposed to be : -prefix and suffix to leave
9.
Grounds on which leave applied for
10.
Date of return from the last leave and the : nature and period of that leave
:
11.(a) I under take to refund the difference : -between the salary drawn during the leave average pay and that admissible during leave on half average pay which would not have been admissible had the provisions to F.R.81(b) (ii) not been applied in the event of retirement from service at the end of during the currency of the leave. (b) I under take to refund the leave salary drawn : -during “leave not due” which could not .
Name of the Applicant
:
2.
Leave rules are applicable
:
3.
Post held
:
4.
Department/ Office and Section
:
5.
Pay
:
6.
House rent allowance, conveyance : allowance or either compensatory allowance drawn in the present post.
7.
Nature and period of leave applied for and : date from which required
8.
Sunday and holiday, if any proposed to be : -prefix and suffix to leave
9.
Grounds on which leave applied for
10.
Date of return from the last leave and the : nature and period of that leave
:
11.(a) I under take to refund the difference : -between the salary drawn during the leave average pay and that admissible during leave on half average pay which would not have been admissible had the provisions to F.R.81(b) (ii) not been applied in the event of retirement from service at the end of during the currency of the leave. (b) I under take to refund the leave salary drawn : -during “leave not due” which could not .
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