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C.L Form A3

The document is a leave application form for staff at Veerappa Nisty Engineering College. It collects information such as the applicant's name, designation, department, type of leave being applied for, period of leave, casual leave balance, and reason for leave. It also has sections for arranging class coverage by alternate staff and obtaining signatures for recommendation from the head of department and principal's sanctioning/rejecting of the application.
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0% found this document useful (0 votes)
401 views1 page

C.L Form A3

The document is a leave application form for staff at Veerappa Nisty Engineering College. It collects information such as the applicant's name, designation, department, type of leave being applied for, period of leave, casual leave balance, and reason for leave. It also has sections for arranging class coverage by alternate staff and obtaining signatures for recommendation from the head of department and principal's sanctioning/rejecting of the application.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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VEERAPPA NISTY ENGINEERING COLLEGE


Hasanapur,Tq:- Shorapur-585224 Dist:- Yadgir
E-mail:[email protected]

LEAVE APPLICATION FORM


______________________________________________________________________________
1. Name of the staff :_____________________________________________
2. Designation :_____________________________________________
3. Department / Section :_____________________________________________
4. Nature of Leave Applied : C.L / V.L / M.L / D.L /E.O.L /LWP_______
5. Period of Leave : From____________ to ___________No of days______
6. Casual Leave at Credit :_____________________________________________
7. Reason for Leave :_____________________________________________
______________________________________________
______________________________________________
8. Work Load Arrangement :
Sl. Class/ Alternate
Date Day Period Time Subject/Lab Signature
no Sem. Staff Name
1
2
3
4
5
6
7
8

Arrangement of the important responsibility if any:

Signature of Dealing Clerk Date: Signature of Applicant


______________________________________________________________________________
Recommendation of HOD/Section Head

Recommended/Forwarded/Not recommended for the fallowing reason:

Sanctioned/Rejected

Signature of HOD/Section Head Principal Signature

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