BINAYAK SCIENCE COLLEGE, ANGUL

Casual Leave Application Form

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Name of the Employee:Designation of the Employee:Date of Application:Leave required from _____/_____/_______ to _____/_____/________
No. of days C.L applied:Contact No. & Address during the period of absence :-

Approved / Not Approved

Signature of the Employee
Principals Signature:

FOR OFFICE USE

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Total No. of C. L. eligible:Total No. of C.L available as on date:No. of C. L days approved :Balanced C.L days of the employee:-

Checked by A.O
Signature of Dealing Assistant

BINAYAK SCIENCE COLLEGE, ANGUL

Casual Leave Application Form
1.
2.
3.
4.
5.
6.

Name of the Employee:Designation of the Employee:Date of Application:Leave required from _____/_____/_______ to _____/_____/________
No. of days C.L applied:Contact No. & Address during the period of absence :-

Approved / Not Approved

Signature of the Employee Principals Signature:

FOR OFFICE USE

1.
2.
3.
4.

Total No. of C. L. eligible:Total No. of C.L available as on date:No. of C. L days approved :Balanced C.L days of the employee:-

Checked by A.O
Signature of Dealing Assistant