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    EL FORM - (Eng)

    Uploaded by

    Anuranjan Kumar
    This document contains an application form for leave. It requests information such as the applicant's name, post held, department, type and period of leave requested, and dates of previous leaves. The applicant must sign to agree to refunding salary if their status changes. The controlling officer provides remarks and the accountant general certifies leave admissibility. Finally space is provided for the sanctioning authority's order and signature.

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    © All Rights Reserved
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    EL FORM - (Eng)

    Uploaded by

    Anuranjan Kumar
    303 views1 page
    This document contains an application form for leave. It requests information such as the applicant's name, post held, department, type and period of leave requested, and dates of previous leaves. The applicant must sign to agree to refunding salary if their status changes. The controlling officer provides remarks and the accountant general certifies leave admissibility. Finally space is provided for the sanctioning authority's order and signature.

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    This document contains an application form for leave. It requests information such as the applicant's name, post held, department, type and period of leave requested, and dates of previous leaves. The applicant must sign to agree to refunding salary if their status changes. The controlling officer provides remarks and the accountant general certifies leave admissibility. Finally space is provided for the sanctioning authority's order and signature.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    303 views1 page

    EL FORM - (Eng)

    Uploaded by

    Anuranjan Kumar
    This document contains an application form for leave. It requests information such as the applicant's name, post held, department, type and period of leave requested, and dates of previous leaves. The applicant must sign to agree to refunding salary if their status changes. The controlling officer provides remarks and the accountant general certifies leave admissibility. Finally space is provided for the sanctioning authority's order and signature.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    FORM OF APPLICATION FOR LEAVE

    (See Supplementary Rule 216)


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

    1. Name of applicant :

    2 Leave rules applicable :

    3 Post held :

    4 Department office and section :

    5 Pay :

    6 House rent allowance, conveyance,


    allowance or other compensatory
    allowance drawn in the present post. :

    7 Nature and period of leave applied for


    and date from which required :

    8 Sundays & Holidays if any, proposed to be Prefix


    9
    prefixed/suffixed to leave. Suffix:

    10 Ground on which leave applied for. :

    11 Date of return from last leave, and nature and


    period of leave

    12 I propose/ do not propose to avail


    myself of Leave Block years --during the ensuing leave. :
    12 Availing LTC
    13 (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 average/ half pay leave which
    would not have been admissible, had the provision to F.R. 81 (b)
    (ii) rule 11 (c)(iii) 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.
    (b) I undertake to refund, the leave salary drawn during leave not
    due, which would not have been admissible had F.R. 81 (c) Rule
    11 (d) of the Revised Leave Rules, 1933, not been applied, in the
    event of my voluntary retirement or resignation from the service at
    any time until I earn half pay leave not less than the amount of
    leave not due availed of by me.

    Date : Signature of Applicant

    14 Remarks and/ or recommendation of the


    Controlling officer. Signature________________

    Designation________________
    Certificate Regarding Admissibility of Leave
    (By Accountant General in case of gazetted officers)

    15 Certified that __________________________________________ (Nature of leave)


    for_______________________from_____________to_____________________ is admissible under
    rule ____________of the ____________________Rules.

    Date__________________ Signature ________________

    Designation ________________

    16 Order of the sanctioning authority.

    Date___________________ Signature_________________

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