Employee Details
NAME OF DEPARTMENT
Casual Leave / Station LeaveYear: 2026
Name of Officer / Official
Designation
Total CL Allowed as per Entitlement
Balance
Period of Casual Leave applied for
(With date)
(With date)
Purpose of Leave
Balance after the above leave
Period of Station leave applied for
Address and contact number during station leave
Signature
Date: 05/03/2026
Signature of Officer / Official