APPLICATION FOR ENCASHMENT OF LAP IN SERVICE

I hereby submit Application for Encashment of LAP in service the details as follows.

Name of the Applicant

P.F.No. / PRAN / ID No.
Designation
Bill Unit No.
Office
Period of Leave sanctioned
No. of days for encashment
Total No. of days encashed during the
service so far
Privilege Pass /PTO No.

I certify that the above facts are true to the best of my knowledge. I am enclosing the original
copy / memorandum of sanctioned leave and attested photocopy of Privilege Pass/ PTO.

Signature of Applicant
Name :
Desig:
I hereby forwarded the application to the Leave sanctioning Authority.

Supervisor- Incharge

No. : …………………………………………….. Date…………………………

To : ……………………………………………….
I hereby sanction leave encashment equal to 10 ( TEN) number of days if eligible /not
sanctioned and forward to Sr. DPO-NGP (Bill ) ……………..Bill Complying Officer for further
necessary action.

Leave Sanctioning authority with Seal