Annexure-G

Proforma for Annual Encashment of Privilege Leave

दिन ांक / DATE :

सेव में / To
________________
Punjab & Sind Bank
________________
महोिय /Dear Sir,

Reg: APPLICATION FOR ANNUAL ENCASHMENT OF ___DAYS PRIVILEGE LEAVE FOR

CALENDAR YEAR____ AS PER JOINT NOTE (CLAUSE 1 OF ANNEXURE V) / BPS(CLAUSE 1
OF SCHEDULE V) DATED 11.11.2020.

I intend to avail encashment of ___ days privilege leave for calendar year _____ to celebrate
________________festival.

Name
PF Code & Designation

Date of Joining

Date Of Birth & Age as on 01.01.2020

No. of Days Eligible for(5 or 7*days)

*if completed 55year of age as on 01.01.2020
No. of Privilege Leave available at Credit

You are requested to sanction me _____days privilege leave encashment and debit the same from
my Leave Record.

Further, I also undertake that:-

1. I have not availed annual encashment of privilege leave for this calendar year.
2. The information mentioned in this proforma is correct to the best of my knowledge.

Yours faithfully,

___________________________
Signature of employee

For Office Use Only

The above employee applied for annual encashment of _____ days privilege leave to celebrate
______________ festival for the calendar year______.

In view, we may sanction_____ days annual privilege leave encashment.

Recommending Authority Sanctioning Authority

(Signature with Seal) (Signature with Seal)