THE SECOND SCHEDULED [See Rule 3 (g)] FORM--I (See Rule – 14) APPLICATION FOR LEAVE OR FOR EXTENSION OF LEAVE 1

THE SECOND SCHEDULED [See Rule 3 (g)] FORM--I (See Rule – 14) APPLICATION FOR LEAVE OR FOR EXTENSION OF LEAVE 1. Name of applicant : 2. Post held : 3. Department / Office and section : 4. Pay : 5. House Rent and other Compensatory allowances : Drawn in the present post. 6.Nature and period of leave applied for and date : from which required 7. Sundays & Holidays, if any, proposed to be : prefixed (Extractive summary — verify with official source.)