SIKKIM STATE COOPERATIVE SUPPLY & MARKETING FEDERATION LTD.

(SIMFED)
Under Agriculture Department
Government of Sikkim
Gangtok, East Sikkim – 737101

CASUAL LEAVE APPLICATION

1. Name of the applicant :

2. Designation :

3. Name of the section where working :

4. Purpose of Casual Leave :

5. Details of Casual Leave

Total Casual Casual Casual Casual Recommendation

Casual Leave Leave Leave Leave Due of the Section
Leave Applied Applied Applied to after Head
Allowed Till Date From deduction

Date: ………………………………..

Signature of the applicant