F.R. & S.R. – PART III - Leave Rules
CENTRAL CIVIL SERVICES (LEAVE) RULES, 1972
PROFORMA
(See O.M. No. 11013/7/2004-Estt.(A) dated 5th, October, 2004)
1. Name:
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2. Designation:
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3. Pay:
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4. Ministry/Department (Specify Centre/State/PSU):
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5. Passport No.:
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6. Details of private foreign travel to be undertaken:
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Period of stay abroad
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Names of Foreign Countries to be visited
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Purpose
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Estimated Expenditure (Travel board/lodging, visa, misc. etc.)
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Source of Funds
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From
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To
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7. Details of previous private foreign travel, if any undertaken during the last one year (as under item No.6)
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Name: Designation: Date:
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