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(FORM - 1) (See Rule 14) Application For Leave or Extension of Leave

The document is a leave application form containing 13 items requesting information from the applicant such as their name, post, department, type and period of leave requested, address during leave, and certification from their controlling office regarding admissibility of leave under relevant rules. If approved, it serves to document the granting of leave to the applicant as specified in the Central Civil Service Leave Rules.

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Amit Kumar Gupta
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1K views1 page

(FORM - 1) (See Rule 14) Application For Leave or Extension of Leave

The document is a leave application form containing 13 items requesting information from the applicant such as their name, post, department, type and period of leave requested, address during leave, and certification from their controlling office regarding admissibility of leave under relevant rules. If approved, it serves to document the granting of leave to the applicant as specified in the Central Civil Service Leave Rules.

Uploaded by

Amit Kumar Gupta
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

(FORM 1)

(See Rule 14)


APPLICATION FOR LEAVE OR EXTENSION OF LEAVE
1. Name of applicant : _________________________________________________
2. Post held : _________________________________________________________
3. Department Office & Section : ________________________________________
4. Pay : _____________________________________________________________
5. House rent and other compensatory
allowances drawn in present post : _____________________________________
6. Nature and period of leave applied for
and date from which required : ________________________________________
7. Sunday and holidays, if any, proposed
to be prefixed/ suffixed to leave : ______________________________________
8. Ground on which leave is applied for: ___________________________________
9. Date of return from last leave
and the nature and period of that leave: __________________________________
10. I proposed /do not proposed to avail myself of leave travel concession for the
block years _______ during the ensuing leave: ____________________________
11. Address during the leave period : ______________________________________

Signature of Applicant
(with date)
12. Remarks and /or recommendation of the Controlling office:
Signature (with date)
Designation
CERTIFATE REGARDING ADMISSIBLITY OF LEAVE
13. Certified that ______________________________________ (nature of leave) for
________________ period from ___________ to __________________ is
admissible under Rule ________________ of the Central Civil Service (Leave)
Rules, 1992.
Signature (with date)
Designation

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