SKELETON NOTE

OFIML MEDAK

ADM SECTION

SUB:LEAVE

1. Shri/Smt……………… has applied for ……………leave for ….days from.…..

to …. (both inclusive). Permission to prefix…… and suffix…….has also been
sought. The leave available at his/her credit is …… days. The application has
been/has not been recommended by the competent authority.
2. A medical certificate is / is not required to be submitted in this case and has/
has not been received with the leave application.
3. Smt. / Shri has …… days …… leave to her/his credit. Keeping this in view and
the recommendation of the competent authority, the leave applied for may be
granted/regretted.
4. Submitted for approval / orders.

Sd/-
(Name)
Date