Application for Casual Leave

Name & Designation of the applicant……………………………………………………………..

Name of institution where serving presently:GPS …………………………………………..

Type of leave demanded: Casual Leave under rules of Education Code of H.P.

Purpose of the leave demanded:…………………………………………………………………..

………………………………………………………………………………………………………………………

No. of casual leaves already obtained……………………………………………………………

No. of days for which this casual leave is needed:…………………………………………..

No. of casual leaves remaining after obtaining this casual leave…………………….

Date of returning to the institution after this casual leave……………………………….

Declaration by applicant

Myself declare that all the particulars mentioned above are true and I am using the casual
leave for casual work/purposes.For any incorrect information I shall be responsible for the
action subjected under HP Edu.Code rules .

Date:…………………………

Place:………………………. (Sign. of the applicant)

Sanctioning by competent authority

The demand of casual leave is justified an hence,I sanction casual leave to the applicant
after being assured that this leave will not affect concerned school’s functioning /working.

Date:………………………….

Place:………………………… (Sign. with seal)

( CHT/HT/Head of the institution)