COLLEGE/INSTITUTE NAME
ADDRESS
LEAVE APPLICATION
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COLLEGE/INSTITUTE NAME
ADDRESS
LEAVE APPLICATION
1. Name of the Applicant:
____________________
2. Designation:
____________________
3. Department:
____________________
4. Period of Leave:
From ______ To ______ Total ______ Days
5. Nature of Leave:
____________________
6. Purpose of Leave:
____________________
7. Station Leave Required:
Yes/No
8. Mobile/Email:
____________________
_________________________
Signature of Applicant
Forwarding Notes (as the case may be)
_________________________
Forwarding Authority/Convener
1. Leave sanctioned as required at SI. No. 4.
2. Leave only from ______ to ______ sanctioned.
3. Leave applied is not granted on exigency of College Work.
_________________________
Principal