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 : SRI G.V. RAMANAIAH

2. Leave rules are applicable : A.P.L.R.S.1933

3. Post held : Divisional Accounts Officer(W)

4. Department/ Office and Section : O/o The Executive Engineer,

SSLC&SB Division NO.2,
Nellore.

5. Pay : Rs.12385/-

6. House rent allowance, conveyance : Rs.2477/-

allowance or either compensatory
allowance drawn in the present post.

7. Nature and period of leave applied for and : Half pay leave commuted to full pay for
date from which required 93days from 04-05-2007 to 04-08-2007 on
Medical Certificate and 05-08-2007 to
09-08-2007 on private affairs.

8. Sunday and holiday, if any proposed to be : --

prefix and suffix to leave

9. Grounds on which leave applied for : Medical Grounds & Personal grounds.

10. Date of return from the last leave and the : 10-08-2007
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 .

(G.V. RAMANAIAH)
Divisional Accounts Officer(W),
SSLC&SB Division No.2,
Nellore.
 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 : A.P. Leave Rules,1933

3. Post held :

4. Department/ Office and Section : I&CAD,

O/o. The Executive Engineer,
SSLC&SB Division No.2,
Nellore.

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 .
 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 .