Casual Leave Application Form

Name of Applicant *

Designation *

Name of the School/Office *

Date of Appointment *

Total Leave Entitlement *

Leave Availed *

From Date *

To Date *

Leave Applied for *

Balance Leave

Station Leave Required? * No Yes

Reason for Availing Leave *

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Application for Casual Leave

1. Name of Applicant
2. Designation
3. Name of School/Office
4. Date of Appointment
5. Total Leave Entitlement
6. Leave Availed
7. Period of Leave (From - To)
8. Leave Applied for
9. Balance Leave
10. Reason for Availing Leave
11. Station Leave Permission Required

Date: ______________

______________________

Signature of Employee

Sanction / Approval of the Competent Authority

Casual leave for ______ day(s) from ____________ to ____________ is hereby Sanctioned / Regretted.

Date: ______________

____________________________________

Signature & Seal of Competent Authority