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Earned Application

The document is an application for leave submitted by Shweta Mangal, a Senior Accountant, requesting 45 days of miscarriage leave from July 28, 2025, to September 10, 2025. It includes details such as the applicable leave rules, the nature of leave, and the applicant's undertakings regarding leave salary. The application requires signatures from the controlling officer and the sanctioning authority for approval.

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rohit goyal
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17 views2 pages

Earned Application

The document is an application for leave submitted by Shweta Mangal, a Senior Accountant, requesting 45 days of miscarriage leave from July 28, 2025, to September 10, 2025. It includes details such as the applicable leave rules, the nature of leave, and the applicant's undertakings regarding leave salary. The application requires signatures from the controlling officer and the sanctioning authority for approval.

Uploaded by

rohit goyal
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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Form of application for leave

(See supplementary Rule 216)


Note:- Items 1 to 11 must be filled in by all applicants whether gazetted or non-gazetted.

1. Name of applicant : Shweta Mangal

2. Leave Rules applicable : As per CCS(Leave) Rules, 1972

3. Post held : Senior Accountant

4. Department, Office and Section : Revenue, O/o Pr.CCA, CBDT, Receipt Accounts Section

5. Pay : As applicable

6. House rent allowance, Conveyance


NA
allowance or other compensatory:
allowances drawn in the present post.
7. Nature and period of leave applied for and Miscarriage leave for 45 days from 28.07.2025 to
date from which required. : 10.09.2025

8. Sundays and holidays, if any proposed to NA


be prefixed/suffixed to leave. :

9. Ground on which leave is applied for. : Abortion

10. Date of return from last leave, and nature


NA
and period of that leave. :

11. I propose/do not propose to avail myself along with my family of leave travel concession
in the block years 2014 during the ensuing leave.

12. (a) I undertake to refund the difference between the leave salary drawn during leave
on average pay/commuted leave and that admissible during leave on half average
pay/half pay leave, which would not have been admissible had the provision to
F.R. 81 (b) (ii)/rule 11 (c) (iii) of the Revised Leave Rules, 1933, not been applied
in the event of my retirement from service at the end or during the currency of the
leave.
(b) I undertake to refund the leave salary drawn during leave not due which would
not have been admissible had F.R. 81 (c)/Rule 11(d) of the Revised Leave Rules,
1933 not been applied, in the event of my voluntary retirement or resignation
from service at any time until I earn half pay leave not due availed of by me.
Date: 31.07.2025

Signature of the applicant


13. Remarks and/or recommendation of the Controlling Officer.

Signature……………………………………….
Designation…………………………………….
Date:

CERTIFICATE REGARDING ADMISSIBILITY OF LEAVE


(By Accountant General in the case of Gazetted Officers)

14. Certified that……………………………………………………(Nature of leave)


for…………………………..from………………………..to…………..………..is
admissible under rule…………………..of the………………………Rules.

Date: Signature……………………………….

Designation……………………………..

15. *Orders of the sanctioning authority:

Date: Signature……………………………….

Designation……………………………..

* If the applicant is drawing any compensatory allowance, the sanctioning authority


should state whether on expiry of leave he is likely to return to the same post or to
another post carrying a similar allowance.

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