FORM PUNJAB C.S.R. NO 2

(Referred to note of Rule 8, 4)

Applications for leave ------

Note: - Item 1 to 11 must be filled in I, c by all applicants whether Gazetted or non-Gazetted.

  1. Name of the applicant:
  1. Leave Rule applicable:
  1. Post held:
  1. Department, office and section:
  1. Pay:
  1. House rent, allowance conveyance allowance or other compensatory allowance drawn in the present post:
  1. Nature and period of Leave applied for and date from which required:
  1. Sunday and holiday, if any proposed be prefixed to leave:
  1. Ground on which leave is applied for:
  1. Date of return from last leave and the nature and period of that leave:
  1. Address during the leave:
  1. A) I undertake to refund the difference between the leave salary drawn during the leave on full pay/comnuted leave and that admissible during the leave on half pay which wound have not been admissible had the rule 9 119(c) (iii) of the Punjab Civil Service Rule, Vol 1, Part 1, not have been applied in the event of my retirement from service and the end of during the currency of the leave.

b) I undertake to draw the leave salary drawn during leave not due which would not have been admissible had rule 8 119 (d) of the Punjab CSSR Vol part 1, not been applied in the event of my voluntary retirement or resignation from service at any time until I earn half pay leave not less than the amount of leave not due availed of by me

Dated (Signature of the applicant with date)

  1. Remarks/ and/ or recommendation of the controlling office.

Signature with date and designation