APPLICATION FOR LEAVE OR FOR EXTENSION OF LEAVE 1. Name 2. Post held 3. Department, Office and Section 4. Pay 5. House rent and other compensatory allowances drawn in the present post 6. Nature and period of leave applied for and date from which required 7. Sunday and holidays, if any, proposed to be prefixed / suffixed to leave. 8. Ground on which leave is applied for 9. Date of return from last leave and the nature and period of that leave 10. Propose / do not propose to avail myself of leave travel concession for the block years during the ensuing leave 11. Address during leave period Signature of applicant with date 12. Remarks / Recommendation of the Controlling Officer. Signature ( with date)Designation
