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IACAT
IONF
ORL
EAVEF
ORGRAMI
NDAKSEVAKS
(
Tobef
i
ll
edi
nQua
drupl
i
cat
e)
1
.Na
me:
-
2.De
signa
ti
on:
-
3.Na
tur
eandpe
ri
odof
lea
ver
equi
re
d:-
4.Da
tef
romwhi
chl
eav
eisr
equi
re
d:-
5.Gr
oundsonwhi
chl
eav
eappl
i
ed:
-
6.F
ull
addr
esswhi
l
eonl
eav
e:-
7
.Na
me,
agea
nda
ddr
essof
thes
ubs
ti
tut
e:
-
8.Spe
cime
nsi
gna
tur
eof
thes
ubs
ti
tut
e:
-
I
her
ebypr
opos
e whos
epa
rti
cul
ar
sar
egi
venbe
lowt
owor
kasmy
s
ubs
ti
tut
edur
ingmyl
eav
eonmyr
espons
ibi
l
it
yac
cor
dingt
othet
ermsof
thes
ecur
it
ybond
e
xec
ute
dbyme
.
I
ama
war
eof
thepr
ovi
si
onsof
theRul
e-7of
Depa
rtme
nta
lof
pos
tsGDSc
onduc
t&
Empl
oyme
nt)
Rul
es2001a
ndI
wil
labi
debyt
hem.
Ac
har
ger
epor
tsi
gne
dbymy
sel
fandmynomi
neewi
l
lbes
ubmi
t
teda
spr
esc
ri
bedi
nrul
e-
50of
rul
esf
orBr
anc
hof
fi
ces/
Rul
e45&56of
P&TMa
nua
lVol
.-I
V
Ne
ces
sar
yappr
ova
lma
yki
ndl
ybea
ccor
dedt
othi
sar
range
ment
.
St
ati
on:
-
Da
te:
- s
igna
tur
eof
GDS
L
EAVEF
ORSANCT
IONORDER
(
For
useof
thes
anc
ti
oni
ngAut
hor
it
y)
1
. Sh.Smt.
/
Ku.--
---
-----
---
----
---
---
---
---
---
---
- -
Desi
gnati
on--
---
---
---
----
---
---
---
---
---
---
BO/SODivi
si
on--
- -
---
---
----
---
---
---
---
-hasbeenpe r
mit
tedt
oproceedonle
avewit
hout
al
lowance(
LWA) pai
dleavef
or-
---
---
---
---
---daysf
rom---
---
---
---
---
---t
o--
---
---
---
---
--
--
-
2.T
hea ppoi
ntmentofSh./
Smt.
Km.--
- -
---
---
- -
---
---
----
---
------
--a
shis/
hers
ubst
it
utei
s
a
pprovedonthecle
a r
under
standi
ngthatthesubst
i
tutema ybedi
scha
rgedbyt
he
a
ppointi
ngauthor
it
yatanyt
i
mewi thoutas
s i
gni
nganyreason.
3.T
hes
ubs
ti
tut
eise
nti
t
ledonl
ytot
hemi
ni
mumof
theT
RCAa
ppl
i
cabl
etoGDS
4.Thepai
dle
aveatc
redi
toft
heGDSforthehal
fyea
rendi
ng-
---
---
---
---
---
---
---
-af
ter
deduc
ti
ngthepa
idlea
venowsanc
tionedis
---
---
---
---
-da
ysonl
y.
Si
gna
tur
eof
thes
anc
ti
oni
nga
uthor
it
y
Me
mono:
- Da
ted
Copyt
o:-
1
.sh.
/
Smt
.
---
---
---
---
---
---
---
---
---
---
---
---
---
---
---
---
--GDS.
2.
Sh.
Smt
.--
---
---
---
---
---
---
---
---
---
---
---
---
---
---
---
---
-(s
ubs
ti
tut
e)
3.
pos
tma
ste
rBa
ramul
l
aHO
4.
Off
i
cec
opy