F F o o r r m m o o f f a a p p p p l l i i c c a a t t i i o o n n f f o o r r l l e e a a v v e e (See supplementary Rule 216) Note:- Items 1 to 11 must be fi

F F o o r r m m o o f f a a p p p p l l i i c c a a t t i i o o n n f f o o r r l l e e a a v v e e (See supplementary Rule 216) Note:- Items 1 to 11 must be filled in by all applicants whether gazetted or non-gazetted. 1. Name of applicant : 2. Leave Rules applicable : 3. Post held : 4. Department, Office and Section : 5. Pay : 6. House rent allowance, Conveyance allowance or other compensatory: (Extractive summary — verify with official source.)