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LeaveApplicationReport 22

The document is a leave application submitted by Suniti Jana, a permanent staff nurse in the Health & Family Welfare department, requesting Compensatory Casual Leave from May 31, 2025, for personal affairs. The application includes details such as HRMS ID, leave rules, and previous leave information. It also notes that the applicant is not leaving the station during this period.

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60 views1 page

LeaveApplicationReport 22

The document is a leave application submitted by Suniti Jana, a permanent staff nurse in the Health & Family Welfare department, requesting Compensatory Casual Leave from May 31, 2025, for personal affairs. The application includes details such as HRMS ID, leave rules, and previous leave information. It also notes that the applicant is not leaving the station during this period.

Uploaded by

vector
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR LEAVE

1.Name of applicant: SUNITI JANA Leave application no:202505318337180


2. HRMS ID: 2023016448
3. Post Held: STAFF NURSE
4.Leave Department: Leave Other
5.Parent Department: Health & Family Welfare
6.Present Department: Health & Family Welfare
7.Employment Type: Permanent
8.Employee Type: Employed
9.Leave Rules applicable: As prescribed by the Govt. from time to
10. House allowances, conveyance 3684 0 260
allowance, or other Compensatory
allowances drawn in the present post:

11. Nature and period of leave applied for 1.Name of leave:Compensatory Casual Leave
and date from which required: 2.Period of leave from:31/05/2025 to 31/05/2025
3.Prefix from:NA to:NA
4.Suffix from:NA to:NA

12.Purpose of leave: Private Affairs

13.Ground on which leave is applied for: CCL against 27.03.25

14.Documents submitted (if any):

15.Date of return from last leave, and the 06/05/2025,Compensatory Casual Leave,05/05/2025 To 05/05/2025
nature and Period of that leave:

16.Are you leaving station: No


17.If yes, then period of station leave:
18.Address for communication during
station leave:
19.Contact no. during station leave:

20.Declaration/undertaking (if any):

Dated Signature of Applicant

21.Remarks and/ or recommendation of


the Controlling officer:-

Dated Signature
SUPERINTENDENT

Dated Signature

If the applicant is drawing any compensatory allowance,the Sanctioning Authority should state whether on the expiry of leave
he is likely to return to the same post or to another post carrying similar allowance.

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