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HARYANA VIDYUT PRASARAN NIGAM

APPLICATION FOR MEDICAL LEAVE OF _________________________



Name of official       Period and nature of leave applied Last    Recommendation of
and the                for and the article of the C.S.R. or leave Officer
appointment he         the Fundamental rules under which enjoyed
holds                  claimed




-----------------------------------------------------------------------------------------------------

Purpose of leave :- ______________



Address while on leave :- _______________________________




               ________________________________

              _________________________________




                                     Signature of Applicant


   Certified that ___________days _____________leave is due to
Sh.______________________under rule 8.119(C) of CSR Vol.1 Part-1 as per balance in his
S/Book. The entry of this application alongwith its particular has been entered in the leave
verification register Sr. No. ________ Page No._______.



Auditor      S.O. /EAD

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search hry med leave

  • 1. HARYANA VIDYUT PRASARAN NIGAM APPLICATION FOR MEDICAL LEAVE OF _________________________ Name of official Period and nature of leave applied Last Recommendation of and the for and the article of the C.S.R. or leave Officer appointment he the Fundamental rules under which enjoyed holds claimed ----------------------------------------------------------------------------------------------------- Purpose of leave :- ______________ Address while on leave :- _______________________________ ________________________________ _________________________________ Signature of Applicant Certified that ___________days _____________leave is due to Sh.______________________under rule 8.119(C) of CSR Vol.1 Part-1 as per balance in his
  • 2. S/Book. The entry of this application alongwith its particular has been entered in the leave verification register Sr. No. ________ Page No._______. Auditor S.O. /EAD