Application For Leave Under Assam
Application For Leave Under Assam
Application For Leave Under Assam
1. Name of applicant
Leave Rules applicable
2. RevisedLeaveRule,1934
3. Post held
4. Department or office
5 Pay ****
leave on
10. I undertake to refund the difference between the leave-salary drawn during
admissible during leave on half average pay/ half pay leave,
average pay/commuted leave and that
which would not have been ad sible had the proviso to F. R. 18 (b) (ii)/ Rule 13(cXii) of the
Revised Leave Rules, 1934 not been applied in the event of my
retirement from service at the end
or during the currency of the leave..
Signature of applicant
Date.... Address after retirement/Leave address
*°*°*°******°°°°*°**°******°°*°*°****°*°***
*******4o*°*°
°******°*°*°***
***
Signaturee
Date....
*********i**4s*********** Designation
12. Report of Audit Officer *°°*****°**°*******************|
Signature
Date... *********
Designation