GUNTAKAL MUNICIPALITY WARDADMINISTRATIVE SECRETARY ~ LEAVE APPLICATION FORM 1 Jame of the Employee [Employee 1D ' 2 3 [Designation 4 ame of the Ward Secretariat & Number 5 |Leave Applying Date 6 [Nature of leave (CL/Medical/Maternity/Others) + |No. of Days:~ 7 Leave Required Dates From:- To:- Cis (15) 8 |So far No. of utilized 9 | No. of days now applying for 10 [Balance Leaves 11 [Leave Purpose 12 [Signature of the Employee : For Office Use only Revenue Inspector Signature Revenue Officer in-charge Secretary Name proposed and . Ward Secretariat Number Signature lAssistant Commissioner Remarks Signature Noter- 1. f More than Two (CL/Medical/Maternity/Others) compulsory obtain permission from the Commissioner. 2. After sanction ofthe leave, the individual has submit the leave application to the Town Plani Section, GMC. Scanned wih CamSeanne