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Farhin Sultana, a Health Assistant, has submitted a leave application for one day of Compensatory Casual Leave on July 14, 2025, for private affairs. She is a permanent employee in the Health & Family Welfare department and has recently returned from a casual leave. The application includes necessary details such as HRMS ID, leave rules, and a declaration of no station leave.

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26 views1 page

LeaveApplicationReport (17) - 5

Farhin Sultana, a Health Assistant, has submitted a leave application for one day of Compensatory Casual Leave on July 14, 2025, for private affairs. She is a permanent employee in the Health & Family Welfare department and has recently returned from a casual leave. The application includes necessary details such as HRMS ID, leave rules, and a declaration of no station leave.

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APPLICATION FOR LEAVE

1.Name of applicant: FARHIN SULTANA Leave application no:202507144477475


2. HRMS ID: 2024001398
3. Post Held: Health Assistant (Female)
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 2724 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:14/07/2025 to 14/07/2025
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: Privet affairs

14.Documents submitted (if any):

15.Date of return from last leave, and the 25/05/2025,Casual Leave,22/05/2025 To 24/05/2025
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

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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