LEAVE APPLICATION

Name: _______________________ Designation: _____________________

From: ________ To: ___________ Nature of Leave: Casual Sick Short Leave
* In case of station
leave: a. Leaving Station on: _____________ Dated: ___________
b. Coming Back on: ______________ Dated: ___________
In case of Short Leave: Leaving from: __________ am/pm To: _________ am/pm

Reasons for leave

_____________________________________________________________

Name of Alternative Assigned: ___________________ Signature: ___________________

Date: _____________ Time: _________ Signature of Applicant: ____________
For Official Use

Leave Record

Type of leave

Availed Balance

Current Month

Current Year

Recommended/ Not Recommended

Signature: ______________ Designation: ​____________

Approved:
___________

LEAVE APPLICATION
Name: _______________________ Designation: _____________________
From: ________ To: ___________ Nature of Leave: Casual Sick Short Leave
* In case of station
leave: a. Leaving Station on: _____________ Dated: ___________
b. Coming Back on: ______________ Dated: ___________
In case of Short Leave: Leaving from: __________ am/pm To: _________ am/pm

Reasons for leave

_____________________________________________________________

Name of Alternative Assigned: ___________________ Signature: ___________________

Date: ________ Time: _________ Signature of Applicant: _______________
For Official Use

Leave Record

Type of leave

Availed Balance

Current Month

Current Year

Recommended/ Not Recommended

Signature: ______________ Designation: ​____________

Approved: ​___________