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Form No. 52 (Revised)

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The Chief / Sr. Manager / Manager
...................................................
ZI, JALANDHAR Nqêh vkosnu i=k
.................................................. Leave application Form
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Name RAKESH RATTU Office/Department
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Designation SR MANAGER
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Leave applied for Period From 02.11.22 To 02.11.22
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Casual / Privilege / Half Pay / Sick* Days
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Reasons / Purpose of Leave TO ATTEND FUNERAL OF RELATIVE

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SBS NAGAR
Address during the Leave Period
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01.11.2022
Date Signature

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For Office Use
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Arrangement Proposed Final Order
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Leave due Privilege....................................................
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Sick..........................Casual.......................................
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Leave availed during the year
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Signature of Leave Clerk / Officer Sanctioning Authority
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* Specific mention of any other type of leave may be recorded here.
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General Leave Rule : Written application for leave (Other than casual leave) should be submitted through the
Officer-in-Charge and should as a rule, reach the sanctioning authority not less than one month before the date from
which the leave is to commence.
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This is also to be noted that Earned Leave cannot be applied for more than three times in one Calendar year.
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* Recommendation of the Departmental Incharge should be specific in regard to grant rejection or postponement of
leave giving reasons in addition to suggestions as to arrangements for relief or otherwise.