You are on page 1of 4

ANJUMAN-I-ISLAMS

M. H. SABOO SIDDIK COLLEGE OF ENGINEERING


8, SABOO SIDDIK POLYTECHNIC RD., MUMBAI-8

APPLICATION FOR CASUAL LEAVE (CL)


1.

NAME : ____________________________________________________________________

2.

DESIGNATION : ___________________________ DEPT: ___________________________

3.

PERIOD OF C.L APPLIED FOR____________________________ DAY / DAYS


FROM _______________________________ TO _____________________________ WITH
PERMISSION TO PREFIX / SUFFIX SUNDAY AND HOLIDAY ON: __________________
____________________________________________________________________________

4.

REASON: ___________________________________________________________________

5.

WHETHER HE/SHE INFORMED TO SUPERIOR IN ADVANCED / IN TIME / AFTER JOINING


BACK: _______________________________________________________________________

6.

WHETHER HE/ SHE ADJUSTED HIS/ HER DUTIES BEFORE AVAILING THE
LEAVE:

7.

YES / NO

WHETHER HQ LEAVE IS NEADED : YES / NO


IF YES, THEN THE LEAVE ADDRESS: _________________________________________________
____________________________________________________________________________

DATE: __________________
___________________________
SIGNATURE OF APPLICANT
RECOMMENDED/ NOT RECOMMENDED
___________________________
HEAD OF THE DEPARTMENT
(AUTO/ MECH/ CIVIL/ ELEX/EXTC/COMP/ IT/ FE INCHARGE
ADMIN/ ACCOUNTS/ W.SHOP / MAINT/EXAM/TPO/LIB.)

SANCTIONED / NOT SANCTIONED

__________________

PRINCIPAL

ANJUMAN-I-ISLAMS

M. H. SABOO SIDDIK COLLEGE OF ENGINEERING


8, SABOO SIDDIK POLYTECHNIC RD., MUMBAI-8
APPLICATION FOR EARNED LEAVE / HALF LEAVE / COMMUTED LEAVE
LEAVE ON LOSS OF PAY
1 .TO BE FILLED BY THE APPLICANT
1.

NAME: ___________________________________________________________________

2.

DESIGNATION: ________________________ DEPT: ____________________________

3.

FROM ____________________________ TO ___________________________________

4.

REASON: __________________________________________________________________

5.

ADDRESS DURING ABSENCE OF LEAVE:


___________________________________________________________________________

DATE: ________________________

____________________________
SIGNATURE OF APPLICANT
--------------------------------------------------------------------------------------------------------------------------2. RECOMMENDATION OF THE HEAD OF DEPARTEMT
MR/MRS/MS: _____________________________________ MAY/MAY NOT BE GRANTED LEAVE
APPLIED BY HIM/HER
HE / SHE HAD / HAD NOT INFORMED ABOUT HIS / HER ABSENCE IN ADVANCE / TIME.
MR/MRS/MS ____________________________________ MAY PLEASE BE INSTRUCTED TO
HOLD ADDITIONAL CHARGE FOR THE POST OF _____________________________________
DATE: ____________________________

_____________________________
SIGNATURE OF HOD
-------------------------------------------------------------------------------------------------------------------------------3. REMARKS OF ESTABLISHMENT UNIT
DATE OF SUBMISSION OF LEAVE APPLICATION _________________ EARNED LEAVE / HALF
PAY LEAVE / COMMUTED LEAVE _____________DAYS ARE AT THIS CREDIT AS ON __________
_____________________
____________________
______________________
SR. CLERK
OFFICE SUPDT.
REGISTRAR
------------------------------------------------------------------------------------------------------------------------------------4. PRINCIPALS ORDER
EARNED LEAVE / HALF PAY LEAVE / COMMUTED LEAVE / LEAVE ON LOSS OF PAY TO
MR / MRS / MS. ___________________________________________ FOR ______________ DAYS
WITH EFFECT FROM___________________________ TO __________________________
SANCTIONED / REFUSED.
THE STAFF MEMBER RECOMMENDED FOR ADDITTIONAL CHARGE AS SUBSTITUTE APPROVED.

____ _________________________

PRINCIPAL

ANJUMAN-I-ISLAMS

M. H. SABOO SIDDIK COLLEGE OF ENGINEERING


8, SABOO SIDDIK POLYTECHNIC RD., MUMBAI-8

APPLICATION FOR COMPENSATORY OFF (CO)


1

NAME: ____________________________________________________________________

DESIGNATION: ___________________________ DEPT: ___________________________

PERIOD OF C.O. APPLIED FOR____________________________ DAY / DAYS


FROM _______________________________ TO _____________________________ WITH
PERMISSION TO PREFIX / SUFFIX SUNDAY AND HOLIDAY ON: __________________
____________________________________________________________________________

REASON: ___________________________________________________________________

WHETHER HE/SHE INFORMED TO SUPERIOR IN ADVANCED / IN TIME / AFTER JOINING


BACK: _______________________________________________________________________

WHETHER HE/ SHE ADJUSTED HIS/ HER DUTIES BEFORE AVAILING THE
LEAVE:

SR.
NO.

YES / NO

DETAILS OF EXTRA DUTY:

DATE

TIME

DURATION
IN HRS.

REASON

SIGN. OF HOD/
SECTION INCHARGE

1.
2.
3.
4.
8. WHETHER HQ LEAVE IS NEEDE: YES/NO
IF YES, THEN THE LEAVE ADDRESS: ________________________________________
________________________________________________________________________
DATE: __________________
___________________________
SIGNATURE OF APPLICANT

RECOMMENDED/ NOT RECOMMENDED


___________________________
HEAD OF THE DEPARTMENT
(AUTO/ MECH/ CIVIL/ ELEX/EXTC/COMP/ IT/ FE INCHARGE
ADMIN/ ACCOUNTS/ W.SHOP / MAINT/EXAM/TPO/LIB.)

SANCTIONED / NOT SANCTIONED


__________________

PRINCIPAL