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Form - CCL Form PDF

This is an application form for children care leave (CCL) from a school. It requests information from the applicant such as their name, designation, age and number of children, as well as the school details including number of students, teachers, and assessment of whether granting the leave would affect students. Key sign-offs are required from the principal, school inspector, and ADE/DDE.

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0% found this document useful (0 votes)
1K views1 page

Form - CCL Form PDF

This is an application form for children care leave (CCL) from a school. It requests information from the applicant such as their name, designation, age and number of children, as well as the school details including number of students, teachers, and assessment of whether granting the leave would affect students. Key sign-offs are required from the principal, school inspector, and ADE/DDE.

Uploaded by

cyber solution
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Application for Children Care Leave (CCL)

1 Name of Applicant

2 Designation

3 Husband's Name

4 Date of Appointment
Age of Child/Children of
5
Applicant

6 Residential Address

7 Name of School

8 Name of Zone
9 No. of Days CCL Applied for
No. of Days CCL Already Availed
10
by Incumbent
Strength of Teacher in the School:-
11 1.) Male
2.) Female

12 No. of Students in the School


13 No. of Section in the School
No. of Teachers on CCL/Long
14
Leave in the School
Does Grant of CCL to the
15 Incumbent may Affect the Study
of Students?
Remarks With Signature

Principal

School Inspector

ADE/DDE

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