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ag fect wareaferer oaq NEW DELHI MUNICIPAL COUNCIL cunftran aur, ae Pret Emp. Code No. Palika Kendra, New Delhi Super No E.CR. No. 1 wrrere @ fy srtea-TaA_—PO.No. Application for leave: 2 Wear. . Designation 3. orafea-sraeprer BY wephe wa arafer... Nature & Period of leave applied for 8. fara fate 4... From what date 4. fea veea & fet srees fever ra. Purpose for which applied for gored aR arent at fae .. Date of joining welt ob eee Signature of the Applicant araorer vipa wee are siftrorét at Rate wa ayer I. Recommendations & Report of Recommending Authority. ReTey Signature/Name & designation ‘of Recommending Officer emer argur oh festé mL Report of Establishment Section. ShrvSmt./Km... Designation. is granted Earned Leave for. days combined with half pay Leave/ ‘Commuted Leave for days and Extra Ordinary Leave for oe sonnel WL. subsequent date of relief. He/She joined duty on. was URI AF aH seETET Balance Leave at his/her credit arfeia arrest Earned Leave org I STeETT Half Pay Leave to. or Sanetioned Freee ( ) Agrapon Peers ( ) Director ( ) Joint/Dy. Director ( )

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