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The Mother & Child Health Centre

Pakistan Institute of Medical Sciences


Islamabad.

Leave Application Form

PART – 1 To be Filled By Applicant

Name of Applicant: Umar Bilal Designation: A.A.O

Place of duty: Accounts Br (MCH) Nature of leave Leave with half average pay

Period of leave: __02 years__

Reason of leave: Personal Problem i.e. Distribution of inherent land and construction of home at
native village

Leave Address: HNo-1279, StNo-93, I-10/1 IBD Date of Application: 12-01-2011

Signature of Applicant: _

PART – II TO BE FILLED BY IMMEDIATE INCHARGE OF DEPARTMENT.

Recommendation In charge :______Khalid Mehmood___(Accounts Assistant)________

Whether substitute required or not ____________ _______________________________

Remarks of Head of Department; ____________________________________________

Part –III to be filled by Admin Branch MCH

Leave at Credit: _________________________ Leave availed so far: _______________

Leave admissible ________________________ Initials of dealing official ___________

Orders of sanctioning authority.


With Signature and Designation _____________________________________________

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