SERVICE BOOK

1. Name:__________________________________________________________________

2. Mother Tongue:_________________________________________________________

3. Left hand thumb and finger impressions of the illiterate Government

Servant

Thumb and finger impression of (Non-gazetted) Government Servant

Fourth Finger Third Finger Second Finger First Finger Thumb

Certified that the above finger prints have been taken in my presence and

under my personal Superintendence from the left hand of Sri/Smt./

Kumari____________________________________________________________________

______________________________________whose sevices are entered in the book.

Name of the Office:_________________________________________________________

Station:____________________________________________________________________

Date:_______________________________________________________________________

Signature and Designation of the

Head of the Office or other Attesting Officer.

Note: (1) The Entries in this page should be Renewed or Re-Attested atleast
Finger Prints need not however be taken afresh
(2) For additional entries in respect to Government

Father's Name
and also
Date of birth
Husband's
by the
Name in the
Christian era Educational
Name Residence case of a
as nearly as Qualifications
Female
can be
Government
ascertained
Servant and
Residence
1 2 3 4 5

every Five Years, and the Signature in Columns-8 and 9 should be dated.
every Five years under this rule.
Servant of the Police Department please see page (500).

Signature and
Signature of designation of the
Exact height by Personal marks for
Government head of the office
measurement Identification
Servant or other attesting
Officer
6 7 8 9

 Whether If Officiating State

substantive
or
officiating
& whether
Signature
permanent
and
or
(II) Designatio
temporary
Whether n of the
(for Other
Name of Service Signature Head of the
temporary (I) Pay in Additional emolument Date of
Post and counts for of Office or
service Substantiv Substantiv pay for s falling Appointme
Scale of pension Governmen other
necessary e e Post Officiating under the nt
Pay under t Servant Attesting
certificates appointme term ‘pay’
Artivle 371 Officer in
with nt or,
Civil attestation
refeence to
Service of columns
Article 370
Regulation (1) to (8)
Civil
Service
Regulation
should be
recorded)

1 2 3 4 5 6 7 8 9

 Leave

(i) Allocation of periods of leave Reference to

Reason of on average pay up to 4 months any recorded
Signature of Signature of
Termination for which leave salary is punishment or
Date of the Head of the Head of
(such as debatable to another censure or
termination of Office or other (i) Nature and Office or other
Promotion/ Government reward given
Appointment Attesting duration of Attesting
Transfer/ to the
Officer leave taken Officer
Dismissal etc.) (b) Government
Government to Servant
(a) Period
which
debatable

10 11 12 13 14 15
 ANDHRA PRADESH LEAVE RULES - 1933

Leave Account of Sri/Smt/Kum_____________________________________________

Date of compulsory retirement______________________________________________

Part I.Earned Leave

Date of Commenccment of Service__________________________________________

Date of Contract, if any_____________________________________________________

Place of Recruitment whether overseas or otherwise_________________________

Balance
Leave Leave at on Return
Leave Taken Remarks
Earned Credit from
Leave
Duty
1/7 or
1/111 or
Columns Columns
1/12 of Period
(4)+(8) (5) (7)
column
(3)

Governme Dates Dates

Period in
nt served Days Days Days Days
Days
under From To From To

1 2 3 4 5 6 7 8 9

 HALF PAY LEAVE (On Private affairs and for Medical Certificate Including
Commuted leave)
G.O.Ms.No.300, Fin, dt.8-11-1965.

Leave Taken

Length of Service Leave Earned Commuted Leave on M.C Comm

Leave on Private Affairs
on full pay limited to 180 uted Balanc
or on Medical Certificate
days in entire Service leave e on
Total
conver return
Half Remar
ted from
No.of Pay ks
into leave
compl Leave Leave
Leave half (col
eted at taken
Earne No.of No.of pay 14-22)
From To years credit From To From To (cols
d (in Days Days leave
of (cols 17+21)
days) twice
Servic 23+13)
of (col
e
20)

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

 FORM OF LEAVE ACCOUNT

(Revised Leave Rule of 1952)
As per Appendix X X II of H.C.S. Rs Vol. II

Name of Government Servant:

Date of Birth: Date of
Compulsory
Retirement:
Domicile:
Date of commencement of
Continuous Service:
Earned Leave
Duty Leave Taken

Leave at
credit (in
Balance on
Leave days) cols
return from
From To No.of Days Earned (in 4+9 subject From To No.of Days
leave cols
days) to the
5-8
appropriate
limit

1 2 3 4 5 6 7 8 9

 (Revised Leave Rule of 1952 contd.)

HALF PAY LEAVE ON PRIVATE AFFAIRS AND ON

Length of Service Credit of Leave Leave on Private Affairs or on Medical Certificate

No.of
completed Leave Earned Leave at credit
From To From To No.of Days
years of (in days) (cols 23+13)
Service

10 11 12 13 14 15 16 17

10 11 12 13 14 15 16 17
 10 11 12 13 14 15 16 17

Note(1) The account of the additional leave admissible to Govermment

servants in superior service under the provision to rule9 should be worked
out as and when necessary and maintained in subsidiary account.
(2) Periods of Extraordinary Leave taken should be noted in red ink in Col. 27
for remarks.
(3) The entries Cols. 10 &11 should indicate only the beginning and end of
completed years of service at the time the half-pay leave commences in cases
where a Government Servant completès another year of service while on half
pay leave the extra credit should be shown in Cols. 10 to 14 by making
suitable entries and this should be taken into account when completing in
Col. 26.
(4) Wherever transition from one fraction to another takes place the credit at
that stage should be rounded off to the nearest days i.e., fractions below half
should be ignored and those of half or more should be reckoned as a day.



MEDICAL CERTIFICATES LEAVE TAKEN

Commuted Leave on M.C on full pay Commuted Leave not due on M.C (limited to 180
(limited to 180 days in entire Service) Leave days in entire Service)
Total pay Balance on
converted
leave taken return
into Half Remarks
(cols from leave
Pay Leave
From To No.of Days From To No.of Days 17+21+24) (col 14-25)
(twice of col
20)

18 19 20 21 22 23 24 25 26 27

18 19 20 21 22 23 24 25 26 27
 INSRUCTIONS TO LEAVE ACCOUNT. 1933

1. Columns 1 to 5 should be filled in at the time a Government servant

applies for and proceeds on leave and columns 6 to 8 on return from
leave.
2. The periods of duty in terms of days column 3 and of leave taken column
7 should be worked out with reference to the actual number of days each
month and not on the basis of 30 days amount.
3. Column 4 leave earned. The fraction of column (3) to be credited in this
column is as below
4. (a) One eleventh in the case of permanent Government servants in
superior service (rule 8 (iii))
5. (b) One twenty second in the case of permanent servants in last grade
service and non- permanent Government servants in superior service (rule
17-1) and 20.
6. In the case of Vacation Departments and X-Ray and Radium Departments
of Government Medical institutions the credit should be reduced as
indicated in Rule 9 and 17 (i)
7. Column 5 Leave at credit. The entry in this column on date (columns
4+8 ) should be limited to:
8. i) One hundred and eighty days in the case of Govemment servants
coming under clause (a) above.
9. ii) One hundred and eighty days in the case of permanent Govermment
servants last grade service and thirty days in the case of non-permanent
servants both in superior and last grade service coming under clause (b).
10.In the case of Government servants in service from a date period to 4th
september 1933, who elect the Andhra Pradesh Leave Rules, 1933, the
first entry of leave on average pay carried over Rule 30 on the date of
election of those Rule should be made in column 5 with the words written
across column 1 to 4, "(Due on date of coming under the new rules)".
11.Periods of extraordinary leave should be noted in red ink in col. 24 for
remarks.
12.The entries in cols. 10 and 11 should indicate only the beginning and end
of completed years of service at the time the half pay leave commences. In
case where a Government servant complete another year of service on half
pay leave the extra credit should be shown in cols. 10 to 14 by making
suitable entries and this should be taken entry account when completing
Cols.23.
13.In making entries in column 4 fractions of half and over should be
rounded as one day and fractions less than half omitted.

ADDITIONAL ENTRIES FOR THE POLICE DEPARTMENT

Plcase see note (2) on page (2-3)

 REGISTER OF LANDS HELD BY

Particulars regarding land and property

Office and District and Nature of

Name of the Date of property i.e
Department in Division in
uncovenanted entering in whether lands,
which which land is In whose name
Public Servant Public Service garden which Extent Assessment
employed situated registered
or without
house
attached

UN CONVENANTED PUBLIC SERVANTS

Nature of interest possessed by

By what means and what
When acquired inherited etc. the Officer concerned in such Remarks
purpose acquired
landed property