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APPLICATION FORM FOR CASUAL LEAVE IN R/O J.B.T., H.T., C.H.T.

1. Name of the applicant ………………………………………………………………………..

2. Designation. …………………………………………………………………………

3. Place of posting. ………………………………………………………………………..

4. Total casual leave applicable……………………………………………………………..

5. Previously availed till date…………………………………………………………………..

6. Now required ( with date) …………………………………………………………………..

7. Balance ( 4-5+6 ) …………………………………………………………………………

8. Purpose of leave. ………………………………………………………………………..

Date ………………….. Signature of applicant

FOR OFFICE USE ONLY

………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………

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