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CENTRAL MECHANICAL ENGINEERING RESEARCH INSTITUTE

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(Council of Scientific & Industrial Research)
nqxkZiqj @ Durgapur & 713 209
ifjp; i= la- % fnukad@Date : _________________
ID No. : _____________ vuqHkkx nwjHkk"k la[;k %
Section Telephone No. : _________

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EARNED LEAVE APPLICATION (NON-GAZATTED)

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Name of the Applicant (In Block letters) : _______________________________________
2- inuke rFkk vuqHkkx dk uke] ftlls tqM+s gSa
Designation & Section from which attached : _______________________________________
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Nature of Leave applied for : _______________________________________
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tksM+uk gks rks] fu/kkZfjr djsaA
Period (mention if it is intended to Suffix
of Prefix Sunday & Holiday) : _______________________________________
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Ground on which to Leave is applied for
(attach M.C. if it is on Medical Ground) : _______________________________________
6- ;fn ,y-Vh-lh- rFkk vfxze ysuk pkgrs gSa rks
ifjokj dk fooj.k nsa
If want to avail L.T.C. and advance
thereof give particulars of the family : _______________________________________
_______________________________________
_______________________________________
7- vodk'k ds nkSjku irk
Leave Address : _______________________________________
_______________________________________
_______________________________________

__________________________
vkosnd dk gLrk{kj fnukad lfgr
fnukad@Date : ____________ Signature of applicant with date

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Leave as above for the period from ___________ to ______________ recommended.

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Signature of Head of Sec./Div.
 2

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FOR OFFICE USE ONLY

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Certified that the Leave as detailed below is due and admissible :

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Leave Earned.........................days from ............................to ......................................

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On half average pay from ............................to ......................................

vlk/kkj.k osru ij fnukad -------------------------------- ls ------------------------------------ rd

On extra ordinary pay from ............................to ......................................

ifjofrZr vodk'k fnukad -------------------------------- ls ------------------------------------ rd

Commuted Leave from ............................to ......................................

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ls mUgksaus vodk'k ds fy, izLFkku fd;k Fkk] ykSVus dh vis{kk dh tkrh gSA vodk'k ds ckn mlus fnukad
------------------------------------ dks M~;wVh ds fy, ;ksxnku fn;kA
Certified that He/She is likely to join on the expiry of leave to duty at station from which he/she
proceeded on leave. He/She resumed duties on ................................... after leave.

vuqHkkx vf/kdkjh d`i;k mi;qZDr vodk'k dh laLohd`fr iznku djsa A

Section Officer may kindly sanction the aforesaid leave.

vuqHkkx vf/kdkjh d`i;k lsok iqfLrdk Service Book rFkk vodk'k ds ys[kk Leave Account esa
fd, x, izfof"V ij gLrk{kj djsa A
Section Officer may kindly sign the entries made in S/B. & L/A.

vuqHkkx vf/kdkjh LFkkiuk&II

Section Officer (Estt. II)

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Administrative Officer