LEAVE APPLICATION ________________ ____DATE OF SUBMISSION
___________________________
Name
____________________________Designation________________________________________
Department
_____________________________Section______________________________________
Nature of Leave: Casual/Earned/Medical/R&R/S.I/W.P
Leave application form: ___________________to___________________total
days________________
Reason of Leave
______________________________________________________________________
___________________________________________________________________________________
Address & telephone No.________________________________
______________________________
___________________________________________________________________________________
Leave available Casual__________-
____________________Earned_____________________________
____________________ _____________________ __________________
Applications Sign Recommending Authority
Approving Authority