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Subsidiary Rule 73

Panchai Sarma, a Deputy Registrar at GHC, has applied for 11 days of earned leave from April 1 to April 11, 2025, with additional leave from March 30 to April 20 for an All India LTC trip to Chennai. The application includes requests to prefix and suffix weekends and holidays to the leave period. The document also contains sections for controlling officer remarks, leave admissibility certification, and sanctioning authority orders.

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112 views1 page

Subsidiary Rule 73

Panchai Sarma, a Deputy Registrar at GHC, has applied for 11 days of earned leave from April 1 to April 11, 2025, with additional leave from March 30 to April 20 for an All India LTC trip to Chennai. The application includes requests to prefix and suffix weekends and holidays to the leave period. The document also contains sections for controlling officer remarks, leave admissibility certification, and sanctioning authority orders.

Uploaded by

madhurya.ghc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Form No.

2 (Subsidiary Rule 73)


Application for Leave or extension of leave
Note:-Forms to be filled in by all applicants whether gazetted or non-gazetted

1. Name of the applicant : Panchai Sarma


2. Post held : Deputy Registrar (Paperbook & RTI)
3. Department, Office and Section : GHC
4. Pay :
5. House rent and other compensatory allowances :
drawn in the present post
6. Nature and period of leave applied for date from : Earned Leave for 11 (Eleven) days w.e.f. 01/04/2025 to
which required 11/04/2025, along with permission to leave the headquarter
from 30/03/2025 (Morning ) to 20/04/2025 (Night).
7. Sundays and holidays, if any, proposed to be : Prefixing 30/03/2025 & 31/03/2025 (Sunday & Id-Ul-Fitre)
prefixed/suffixed to leave and Suffixing 12/04/2025 to 20/04/2025 (Bihu Vacation).
8. Grounds on which leave is applied for : For availing All India LTC to visit Chennai.

9. Date of return from last leave and the nature and :


period of that leave
10. I propose/do not propose to avail myself of leave : No.
travel concession for the block years
_______________ during the ensuing leave
11. Address during leave period : Chennai

Signature of Applicant
(with date)
12. Remarks and/or recommendation of the :
Controlling Officer

Signature (with date)


Designation
CERTIFICATE REGARDING ADMISSIBILITY OF LEAVE
13. Certified that leave on average pay/earned leave …………… for ………… months and ………….. days from ………..
20……… to ………………20……….. is admissible under ……………………. of the ………….

Signature (with date)


Designation
14. *Orders of the sanctioning authority

Date Signature (with date)


Designation

 If the applicant is drawing any compensatory allowance, it should also be indicated in the orders on the expiry of leave,
the Government servant is likely to return to the same post or to another post carrying similar allowance.

 According to Order No.H.C.V-61/2004/02/Estt. Dated 02.01.06 Earned Leave for less than 6 (six days) at a time shall not
be granted to the employees from 1st January to 30th September of each year.

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