Jawaharlal Nehru Government Engineering College
Sundernagar (H.P.)175018
Application Performa for Casual leave/R.H./Compensatory Leave
1. Name: __________________________________& Designation ____________________
2. Kind of Leave and Date: __________________________DATE_________________(dd/mm/yyyy)
3. Purpose of Leave: ________________________________________________
4. C.L./R.H/Comp. Leave already
Availed during the current year_______________________________________________
5. Prefix/Suffix being Sunday
or Gazetted Holiday ________________________________________________
6. Class Arrangement Made:
Sr. No. Lecture/Practical/ Date and Alternative Arrangement Signature of Faculty/Staff with
Work Allotted Time slot (Name of Faculty/Staff) whom arrangement is made
1
2
3
4
5
7. Address during the Leave (Including Mobile No.)_______________________________
_______________________________________________
______________________________________________
Signature of Applicant (With Date)
Recommended/Not Recommended
HOD/OIC
Approved/Not Approved
Director/Principal