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 ( )