FORM II
APPLICATION FOR LEAVE
(The Revised Leaves Rules, 1981)
Note: - Item 1 to 9 must be filled in by all applicants. Item 12 applies only in the
case of Government servants of Grade 16 and above.
1. Name of applicant.
2. Leave Rules applicable
3. Post held
4. Department or Office
5. Pay
6. House Rent Allowance; Conveyance Allowance or other compensatory
Allowances I the present post.
7. (a) Nature of leave applied for
(b) Period of leave in days
(c) Date of commencement
8. Particular Rule/Rules under which leave is admissible.
9. (a) Date of return from last leave.
(b) Nature of leave.
(c) Period of leave in days.
Dated Signature of applicant
10. Remarks and recommendation of the Controlling Officer.
11. Certified that leave applied for is admissible under Rule ___________
and necessary conditions are fulfilled.
Signature
Dated: Designation
12. Report of Audit Officer.
Signature
Dated: Designation
13. Orders of the sanctioning authority certifying that on the expiry of leave
the applicant is likely to return to the same post carrying the
compensatory allowances being drawn by him.
Signature