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Leave Application Report

Trisha Kar, a staff nurse, has applied for casual leave from March 8-9, 2023 to collect a mutation copy. She is requesting leave from her present department of Health & Family Welfare. During her leave, she will be stationed at her address in Kolkata and can be reached by phone. Her application includes her signature and requires the approval of her controlling officer and signature from the Block Medical Officer of Health.

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0% found this document useful (0 votes)
205 views1 page

Leave Application Report

Trisha Kar, a staff nurse, has applied for casual leave from March 8-9, 2023 to collect a mutation copy. She is requesting leave from her present department of Health & Family Welfare. During her leave, she will be stationed at her address in Kolkata and can be reached by phone. Her application includes her signature and requires the approval of her controlling officer and signature from the Block Medical Officer of Health.

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APPLICATION FOR LEAVE

[Link] of applicant: TRISHA KAR Leave application no:202302235845821


2. HRMS ID: 2010011032
3. Post Held: STAFF NURSE
[Link] Department: Leave Judicial
[Link] Department: Health & Family Welfare
[Link] Department: Health & Family Welfare
[Link] Type: Permanent
[Link] Type: Employed
[Link] Rules applicable: Rule 207 of WBSR-I
10. House allowances, conveyance 5352 0 260
allowance, or other Compensatory
allowances drawn in the present post:

11. Nature and period of leave applied for [Link] of leave:Casual Leave
and date from which required: [Link] of leave from:08/03/2023 to 09/03/2023
[Link] from:NA to:NA
[Link] from:NA to:NA

[Link] of leave: Other

[Link] on which leave is applied for: collection of mutation copy

[Link] submitted (if any):

[Link] of return from last leave, and the


nature and Period of that leave:

[Link] you leaving station: Yes


[Link] yes, then period of station leave: From:08/03/2023 To:09/03/2023
[Link] for communication during Akansha housing, post - Rabindra tirtha, New tawn , kolkata.
station leave:
[Link] no. during station leave: 9474043615

[Link]/undertaking (if any):

Dated Signature of Applicant

[Link] and/ or recommendation of


the Controlling officer:-

Dated Signature
BLOCK MEDICAL OFFICER OF
HEALTH

Dated Signature

If the applicant is drawing any compensatory allowance,the Sanctioning Authority should state whether on the expiry of leave
he is likely to return to the same post or to another post carrying similar allowance.

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