gt or at Ueto aircon FORM OF APPLICATION * LEAVE S.R-1 (org re 216 fe) ee supplementary Rule 216) safer, st roa a aera 1 applicants whether gazetted or non-gazetted. Ueto aircon, SRL weet ot iat FORM OF APPLICATION + (ara Fre 216 Bfet)/(Se supplementary Rule 216) cafan, aa 9@ crorafar eh ay srerrafere | y all applicants whether gazetted or non-gazeited. 2 art 2 are ad fraaracth Touro ro svaecaniae ts 3. F/Post held 3. @/Post held 4. for, safer tte aque 4. for, safer tte aque Department, Office and Section \ Department, Office and Section \ 5. a7/Pay 5. at] Pay 96. adart oe re fire aTaT seat Feta wer, ware wer at ater sft wa House rent allowance, conveyance allowance, “6. ardor ee frat are ara Fett wet, ware wer at ater sft wa House rent allowance, conveyance allowance, Or other, compensatory allowances drawn i Or other, compensatory allowances drawn i the present post the present post 7, ait at at a fre orate ae a TE 7, ait at at a fre orate ae a TE @% #1 attte/Nature and period of leave @% #1 attte/Nature and period of leave Applied for and date from which required. Applied for and date from which required. 8, cfaare ate et fir, ae aE gh, fre ae ar oaa are Haga aed 21 ‘Sundays and holidays, if any proposed to be prefixed/suflixed z TTT jround on which leave is applied for. . jround on which leave is applied for. . 10. from agt tater starter ate oe GE AT 10. from agt tater starter ate oe GE AT fire oat arafir | five wat arin ais of return fom last leave, and the nature ais of return fom last leave, and the nature dnd period ofthat leave, nd period ofthat lea 11. ire feare oat at + are vat fy eet ae a tee 11. ire fare reat get dea at fey wet ae at ee FT B/FEI BI propose/do not propose to avail myself of leave travel concession A wt B/E Bl propose/do not i avail myself of leave travel concession inthe block yeatsrvssvecvsuse- during th ensing leave. inthe block yeatsrvssvecvsuse- during th ensing leave. 12, () Heer dang sherbet fo af a ae 9 Frere ee te a 12, () Heer dang sherbet fo af a ae 9 Frere ee te a ant wea Aaa/an aa bald aa Far areata oe ant wea Aaa/an aa bald aa Far areata oe am at ane HC gm aT A AT AAR Te maT ge eter AT aon at ate oe amt ot ey FI ONT aM IT OR A Rafe Has fran 81 (a) (1)/eaifira Oa A Rafe Has fran 81 (aw Frome 1933 free 11 (ohunye arya ed Frome 1933 free 11 (ohunye arya (@) [undertake to refund the difference ing, (@) 1 undertake to refund t yeen the lea eave on average paylcomimuted leave alt Teave on average payicom iat admis ‘vernge. pay? be fverage. pay hal ‘ot have been adm provi (0° FR. the Revised Lea proviso (0 F. For bon, apple, in the evento ay rstsemeat from serve a bend ot hot been applied in ‘during the currency of ‘during the currency of the leave,“sido 000'00'S1—1606/SAIO-C1/12 399 dELLIOW [ia hf sanas 1 1B hig aah Laue ps gu TS I ik fg aaa Dn ml (8, READ OND ER IR J OS ND a Sen ETT tee gia peneeregreren re se aad fais =! Aigomne Saruorau0s om 10 899306 Gsa0yJo poniaze8 jo aves oy) QUID JuEWUNODDW Ag) (DIE Stipek yy eB Unpianpe Dejnled) HAVAT JO ALITGISSINGY ONIGUYOSA FLVOMILYAD birllbi ie tle WIDE ye IF -wonoutyoa|iauiny 9 et way 2am f> wis A “wowo SayonuED 2mp Jo wonepusummooos 30/pue 3ew2 Mauch Lb/ dye Anna _un2yjddo fo sisousis 1 uh au abun ka ade 49 Ray/ipih ly be whe db he hay hue (e) TT key & EE6T Ae aE Cera aunts ia Jenyle Able) Bh Dok Je DloYe IB BRE ye LBle lle bub Bde Ip Rp ‘ey Baath ee Sia ian A nly A (2) 16 06/Sa10°21/10—996 ALTON sbfunbuns 08 1B ery oom SE ae ot tT) ge dep Bk iy Diehbe ie ke Dek 1b 2 bly ble Danyk 5k Le Uplk Rdg, Sn guy ‘aes aaa aa ha seach *aanpoudys /3 gaps =! Agomnne aaquoraues om 0 £29106 WER uous rueyunos9y 4a) HAYA AO ALITIAISSINGY DNIGAYDAY aLVOIILAAS 2a 30 worepuomaosa! 0/PeR Sea Soe a ee ea ae EL eo pavieecceans 1 uh au abun ka ade 4 db yl hay 2 Thus se (ie) 11 dehy & E€61 Papeete eee ota neo tla Jenyle Able) Bh Dok Je DloYe IB BRE ye LBle lle bub Bde Ip Rp oP kg Phlih? B Wee ie LO Eby Web Q 1ak? pe ay 2 ie kne y (Bm)