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APPLICATION FOR CASUAL LEAVE/RH

Name________________________________________ Designation________________

Kind of Leave applied ___________________

No. of days required______________ from _______________ to __________________

Reasons________________________________________________________________

Address during leave


Period_____________________________________________________________________________

__________________________________________________________________________________

Whether permission to leave duty station required? Yes/No

Date Signature of the applicant

As per the record maintained in the office, the balance of CL/RH is as under :

Balance of CL before this application_______ Balance of RH before this Application_______

Sanctioned

Signature of sanctioning authority

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