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APPLICATION FOR LEAVE

Note:- i) Item 1 to 9 must be filled in by all applicants.


ii) Item 12 applies only in case of Government servants of BPS-16 and above.
1. Name of applicant MUHAMMAD ADIL JAVED
2. Leave Rules applicable REVISED LEAVE RULES 1981 – RULE 9
3. Post Hold EXECUTIVE ENGINEER, CHAKBANDI DIVISION, LAHORE
4. Department or Office IRRIGATION DEPARTMENT
5. Pay of Officer / Official Rs. 37,270 (BASIC PAY – BS – 17)
6. House Rent Allowance-/Conveyance Allowance or other Compensatory
Allowance in Present post BS – 17
7. a) Nature of leave EX-PAKISTAN LEAVE
b) Period of leave in days 30 DAYS (ONE- MONTH)
c) Date of commencement 01-FEBURARY-2022
d) Purpose of leave VISITING MY FAMILY
8. In Case of Leave Ex-Pakistan
(a) Purpose of visit VISITING MY FAMILY
(b) Source of funding of visit abroad SELF/FAMILY
(c) Total annual income from all sources 1,104,000/-
(d) No. of Foreign visit prior to this 01
(e) Passport No. AX8674034 Date of Issue 30-JULY-2019 Place of Issue LAHORE
(f) Name and address of sponsor / relative NIL Living abroad or the place of live NIL
(g) Country to be visited CANADA
9. Particular Rules under which leave is admissible REVISED LEAVE RULES 1981 – RULE 9
(a) Date of return from last leave 03-12-2019
(b) Nature of leave (last leave) UMRAH LEAVE
(c) Period of leave in days (last leave) 15

Date: Signature of Applicant


10. Remarks and recommendation of the controlling office: ________________________________

____________________________________________________________________________

____________________________________________________________________________

11. Certified that leave applied for is admissible under rule Revised Leave Rule 1981 – Rule 9
necessary conditions are fulfilled.

Date: Signature: _______________


Designation: Superintending Engineer
Link Circle, Lahore

12. Report of Audit Officer __________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Date: Signature: ________________

Designation: ________________

13. Orders of the sanctioning authority certifying that on the expiry of leave the applicant is likely to
return to the same post or another post carrying the compensatory allowance being drawn by
him.
Date: Signature: ________________

Designation: ________________

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