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Leave Application Form for Faculty

This document is a leave application form from Vinay Mahajan, an Assistance Professor in the Electronics Department at Jawaharlal Institute of Technology, Borawan. He is applying for 1 day of casual leave from March 14, 2016 to March 14, 2016 to attend his cousin brother's marriage. The form includes sections for the applicant to provide leave details, the leave clerk to note details of the application, the Head of Department to recommend approval or denial of leave, the sanctioning authority (Dean) to approve or not approve the leave, and space to note reasons for non-approval of leave. An additional form is included to arrange alternate teaching and other duties during the applicant's leave period.

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Tarun Joshi
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38 views2 pages

Leave Application Form for Faculty

This document is a leave application form from Vinay Mahajan, an Assistance Professor in the Electronics Department at Jawaharlal Institute of Technology, Borawan. He is applying for 1 day of casual leave from March 14, 2016 to March 14, 2016 to attend his cousin brother's marriage. The form includes sections for the applicant to provide leave details, the leave clerk to note details of the application, the Head of Department to recommend approval or denial of leave, the sanctioning authority (Dean) to approve or not approve the leave, and space to note reasons for non-approval of leave. An additional form is included to arrange alternate teaching and other duties during the applicant's leave period.

Uploaded by

Tarun Joshi
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

Jawaharlal Institute of Technology, Borawan

Format Name: Leave Application


Format No.:JIT/LA/109
Issue: 1.1

JIT0055

Date:18/09/15

--------------------------------------------------------------------------------------------------------------------LEAVE APPLICATION FORM


(To be filled by Applicant)
Part A : Leave Details
1. Name:-Vinay Mahajan

2. Designation: AP

3. Department: EC

4. Nature of Leave: 01 CL

5. Leave: From:-. 14/03/16 to 14/03/16

6. Leave Duration: 01 days

7. Suffix/ Prefix Holiday: ---Nil----8. Purpose of Leave: Cousin brothers Marriage


Sign of Applicant
* Teaching staff require to submit duly filled Faculty alternate Arrangement form to the HOD.
Part B: Note by Leave Clerk
1. Date & Time of receipt of application :
2. Nature of leave : ..

3. Leave Duration : .. Days

4. Leaves Due : . Days

5. Leaves Balance : .. Days

In case of LWP
5. LWP taken till date : . days.
Sign of Clerk
Part C: Recommendation of HOD/Section Head
1. Total staff on Roll: .
2. Staff already on leave during above period :
3. I have verified that the alternate arrangements made are satisfactory.
4. I will observe that all the lectures of the applicant will be engaged during his/her leave period.
5. The percentage of staff on leave during this period is less then 10 %.
OR
Even if the percentage of staff during this period is more than 10%, I assure you that the department work will not
be hampered due to the leave of applicant.
6.

I recommend the leave.


OR
I do not recommend the leave due to (Strike out which is not
applicable)
Sign of HOD / Section Head

Part D : Remarks from the sanctioning Authority


.days CL/DL/EL/LWP . Leave is sanctioned / Not sanctioned.
DEAN
Part E: In Case of non sanctioning of leave
The leave mentioned in above parts is not sanctioned due to ..
Signature of dealing Assistant.

Jawaharlal Institute of Technology, Borawan


Format Name: Leave Application
Format No.:JIT/LA/109
Issue: 1.1

--------------------------------------------------------------------------------------------------------------------Name of Faculty: Vinay Mahajan


Leave: From:-. 14/03/16 to 14/03/16
Alternate Teaching Arrangement During Leave:
S.No

Date

Day

14/03/2016

Monday

14/03/2016

Monday

Time
of
Lectur
e
10:1011:10
12:1001:10

Designation: Assistance Professor

Clas
s

Ro
om
No.

EX1st
yr
Ec3rd
yr

156

Name of Alternate
Faculty

Sign of Alternate
Faculty

242

Name and Signature of HOD

Name and Signature of Faculty

Alternate Portfolio/Other Collage Work arrangement during leave:

S
No.

From
(Date)

To
(Date)

Portfolio/Other
Collage Work

Name and Signature of section In charge

Name of Alternate

Signature of Alternate

Name and Signature of Faculty

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