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Dr. Ram Manohar Lohiya National Law University, Lucknow: Leave Application Form

This document contains a leave application form for faculty members, officers, and staff members of Dr. Ram Manohar Lohiya National Law University, Lucknow. The form collects information such as the applicant's name, designation, department, type of leave requested, dates of leave, and purpose of leave. It also tracks the applicant's current leave balances and requires signatures from the forwarding officer and sanctioning authority to approve or deny the requested leave.

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129 views1 page

Dr. Ram Manohar Lohiya National Law University, Lucknow: Leave Application Form

This document contains a leave application form for faculty members, officers, and staff members of Dr. Ram Manohar Lohiya National Law University, Lucknow. The form collects information such as the applicant's name, designation, department, type of leave requested, dates of leave, and purpose of leave. It also tracks the applicant's current leave balances and requires signatures from the forwarding officer and sanctioning authority to approve or deny the requested leave.

Uploaded by

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

Ram Manohar Lohiya National Law University, Lucknow

Leave Application Form


(For Faculty Members/ Officers/ Staff Members)
(Restricted Holiday/Casual Leave/Earn Leave/Half Pay Leave/Commuted Leave/Other Leaves (as mentioned in University Regulation))

1. Applicant’s Name: …………………………………………………………………………...................

2. Designation: ………………………………………………………………………………….................

3. Section / Deptt : …………………………………………………………………………………………

4. Nature of leave: RH CL EL HpL ComL Other Leaves

Please mention the name of leave, in case of other leave: ………………………………………………

5. Leave from ……………....……...to ……………..….………. for .……..………………days

With permission to prefix ………………………………… Suffix ………………………………being

Holiday (s) / Saturday (s) / Sunday (s) (where necessary)

6. Purpose of Leave ……………………………………………………………………………………….

7. Permission to leave headquarters from …………………………………………………………………

Date ………………… Signature of Applicant

Remarks of the forwarding officer

1. Total Restricted Leave (RH): 02 Availed …..……… Balance ……..………..

2. Total Casual Leave: …………… Availed …..……… Balance ……..………..

3. Total Earned Leave: …………… Availed …..……… Balance ……..……….

4. *Total Half Pay Leave: …………… Availed …..……… Balance ……..……….

5. * Total Commuted Leave: …………… Availed …..……… Balance ……..……….

6. Other Leaves: …………… Availed …..……… Balance ……..……….

Signature of the forwarding officer

Remarks of the Sanctioning Authority


Sanctioned / not sanctioned

Date: Signature of the Sanctioning Authority

* Note:- Marked leaves are sanctioned on medical ground only. Applicant is required to support the application with medical
certificate.

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