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Name of Applicant 2. Present Post 3. Department, Office and Section

This document is an application form for regular officers and staff to apply for leave or an extension of leave. It requests information such as the applicant's name, present post, department, proposed leave period and dates, grounds for leave application, proposed prefixing or suffixing of weekends to leave, address during leave period, and requires recommendations and signatures from the applicant's controlling officer and the competent authority.

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Yumkhaibam Pamcha
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227 views1 page

Name of Applicant 2. Present Post 3. Department, Office and Section

This document is an application form for regular officers and staff to apply for leave or an extension of leave. It requests information such as the applicant's name, present post, department, proposed leave period and dates, grounds for leave application, proposed prefixing or suffixing of weekends to leave, address during leave period, and requires recommendations and signatures from the applicant's controlling officer and the competent authority.

Uploaded by

Yumkhaibam Pamcha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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FORM – 1

(See Rule 14)

APPLICATION FOR LEAVE / EXTENSION OF LEAVE (FOR REGULAR


OFFICERS/STAFF)

1. Name of Applicant

2. Present Post

3. Department, Office and Section

4. Present Pay

5. House Rent and other Compensatory


Allowance drawn in the present post

6. Nature and period of leave applied


for and date from which required

7. Grounds on which
leave is applied

8. Sunday and holidays, if any,


proposed to be Prefixed /
Suffixed to leave

9. Date of return from last leave and


period of leave availed earlier

10. I propose / do not propose


to avail myself of Leave Travel Concession
for the Block years during the leave period.

11. Address during the leave period

Signature of the Applicant


(with date)

12. Remarks and Recommendation of Controlling Officer

Signature (with date)


Designation

13. Orders of the Competent Authority to grant Leave

Signature (with date)


Designation

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