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Leave Application

1. The document is a leave application form that requests leave from an employer. It requires the applicant to provide their name, designation, reason for leave, type of leave (casual, privilege, or medical), leave duration, leave due, impending job duties, and an alternate contact person. 2. The form must be signed by the Dean and Director to approve the leave request. A note at the bottom explains that leave is not guaranteed and absence without approval will be considered a disciplinary issue. 3. The type of leave (casual, privilege, medical) and applicable leave rules for faculty and staff are defined, such as the number of days accrued annually for each leave type and requirements for medical leave

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Srajal Saxena
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167 views

Leave Application

1. The document is a leave application form that requests leave from an employer. It requires the applicant to provide their name, designation, reason for leave, type of leave (casual, privilege, or medical), leave duration, leave due, impending job duties, and an alternate contact person. 2. The form must be signed by the Dean and Director to approve the leave request. A note at the bottom explains that leave is not guaranteed and absence without approval will be considered a disciplinary issue. 3. The type of leave (casual, privilege, medical) and applicable leave rules for faculty and staff are defined, such as the number of days accrued annually for each leave type and requirements for medical leave

Uploaded by

Srajal Saxena
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Leave Application

Name: ________________________________________ Designation _____________________________


Reason for Leave________________________________________________________________________
Nature of leave (CL/PL/ML): _____________________________________________________________
Leave duration: __________Days ;

From _____________________To______________________

Leave due (No. of days) : CL________________PL________________ML________________________


Impending job : _________________________________________________________________________
Alternate Person : _____________________________________________________________________

Dean

Director

Note
Leave cannot be claimed as a matter of right. In case of exigencies of services, leave may be refused. Leave be got sanctioned in advance. Absence from
duty without approved/sanctioned leave will be considered as delinquency in duty amounting to disciplinary action. Leave application will be routed
through the concerned HOD.

CL=Casual Leave; PL=Privilege Leave (Earned Leave); ML= Medical Leave

Leave Application
Name: ________________________________________ Designation _____________________________
Reason for Leave________________________________________________________________________
Nature of leave (CL/PL/ML): _____________________________________________________________
Leave duration: __________Days ;

From _____________________To______________________

Leave due (No. of days) : CL________________PL________________ML________________________


Impending job : _________________________________________________________________________
Alternate Person : _____________________________________________________________________

Dean

Director

Note
Leave cannot be claimed as a matter of right. In case of exigencies of services, leave may be refused. Leave be got sanctioned in advance. Absence from
duty without approved/sanctioned leave will be considered as delinquency in duty amounting to disciplinary action. Leave application will be routed
through the concerned HOD.

CL=Casual Leave; PL=Privilege Leave (Earned Leave); ML= Medical Leave

LEAVE RULES
Following Leave Rules will be applicable in the Institute for Faculty and Staff:

General Rules
1. Leave cannot be claimed as a matter of right.
2. In case of exigencies of services, leave may be refused by the management.
3. Leave be got sanctioned in advance.
4. Absence from duty without approved/sanctioned leave will be considered as delinquency in duty
amounting to disciplinary action.
5. Leave application will be routed through the concerned HOD.

LEAVE RULES FACULTY


Casual Leave
1. An employee will be entitled to one day casual leave after one month of service put in, and up
to a total of 14 days in a year.
2. Casual leave can not be availed more than three days at any time, even if accrued more.

Privilege Leave
1. An employee will be entitled to six days Privilege Leave per year.
2. No Privilege Leave can be availed during the one year from joining; however, the accrued leave
of first year can be availed after putting in one year of service.
3. Privilege Leave can not be combined with Casual Leave.
4. Privilege Leave accrued over and above 30 will be lapsed automatically.
5. Privilege Leave will not be encashed at any stage.

Medical Leave
1. An employee will be entitled to maximum eight days Medical Leave per year.
2. Medical Leave for more than 3 days will require a medical certificate and a fitness certificate
from a Registered Medical Practitioner.
3. Medical Leave can be accumulated maximum upto 240 days during the entire tenure of service.

Summer/Winter Vacation
Summer/Winter break will be declared by the University/Institute according to Academic Calendar and
work exigencies in the Institute.

LEAVE RULES STAFF


Casual Leave
1. An employee will be entitled to one day casual leave after one month of service put in, and
upto a total of 14 days in a year.
2. Casual leave can not be availed more than three days at any time, even if accrued more.

Medical Leave
1. An employee will be entitled to maximum eight days Medical Leave per year.
2. Medical Leave for more than 3 days will require a medical certificate and a fitness certificate
from a Registered Medical Practitioner.
3. Medical Leave can be accumulated maximum upto 240 days during the entire tenure of service.
These rules will come into force w.e.f. January 01, 2012.

(Dr. N. K. Gupta)
Director

On Duty Form
Date:
This is to inform that Mr./Ms.________________________Desgn._______________________
1.

will reach/leave Institute at __________________AM/PM on ________________________________

2.

will be on official duty from____________________________to_______________________________

due to official work.


NOTE : Please cut 1 or 2 whichever is not applicable.

Dept. Head/Dean

Director

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