Delhi Public School, Guwahati
                                  Leave Application      	                  Date:-
1.	Name	: ____________________________________________________________
2.	Post	: _____________________________Attendance Register No.___________
3.	Leave applied:	CL/      _________________________________________________
4.	From________ to ________________ Total No of Days _____________________
5.	No of working days falling in between the leave period: ______________________
6.	Reason: _____________________________________________________________
7.	Signature of the applicant: ______________________________________________
8.	Leave record as on Date
Sl. No.	Leave	Due for the session	Taken	Balance	
1.					
2.	CL				

9.	Arrangement of Duties
Sl.No.	Duty	To be looked after by	Signature of the Teacher/ Administrative Staff who will look after the duty	

	

……………………………………………………………………………………………………..
Total No. of Teachers/Administrative Staff applied for the same day(s) ___________________
 (Excluding this application)
    
Signature ________________              ______________________       Recommended/
	    Time Table In charge	HM / IC / Admin Officer	     Not recommended
……………………………………………………………………………………………………..								   	                      Granted / Not Granted

								         Principal / Head Master
……………………………………………………………………………………………………...
For office use:
Entry made in Leave record and service book on ______________________________________
									
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