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Leave Application Form SR 1

The document is a Leave Application Form (SR-1) that requires information such as the applicant's name, post, department, pay, nature and period of leave, and grounds for the application. It also includes sections for the controlling officer's remarks and a certificate regarding the admissibility of leave under specific rules. Finally, it requires signatures from both the applicant and the authority granting the leave.

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mroy729
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3K views1 page

Leave Application Form SR 1

The document is a Leave Application Form (SR-1) that requires information such as the applicant's name, post, department, pay, nature and period of leave, and grounds for the application. It also includes sections for the controlling officer's remarks and a certificate regarding the admissibility of leave under specific rules. Finally, it requires signatures from both the applicant and the authority granting the leave.

Uploaded by

mroy729
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
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LEAVE APPLICATION FORM (SR-1)

1 Name of the Applicant


2 Post held
3 Department, Office & Section

4 Basic Pay

House Rent and Other compensatory Allowance draw with the


5
present hold
Nature and period of Leave applied for and Date from which
6
required

Sundays and Holidays, if any proposed to be prefixed/suffixed to


7
leave
8 Grounds on which leave is applied for

Date of return from last leave , and the nature and the period of that
9
leave

I propose/ so not propose to avail myself of Leave Travel concession


10 for the block years …………………………… during the ensuring
leave

11 Address during leave period

Signature of Applicant
(with date)

12 Remarks/Recommendation of the controlling officer

CERTIFICATE REGARDING ADMISSIBILITY OF LEAVE

Certified that …………………………………….. (nature of leave) for …………………………… (period)from


13 ………………………to………………………….. is admissible under Rule …………………………………………..to the
Central Civil Services (Leave Rule 1972)

Signature (with date)


Designation

14 Orders of the authority competent to grant leave

Signature (with date)


Designation

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