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Leave Application Report

Arati Biswas, a Sub Inspector in the Food & Supplies department, has applied for Special Sick Leave from May 12, 2026, to May 23, 2026, due to a surgery for a uterine tumor. The application includes a medical certificate and states that she will be leaving the station during this period. The leave is requested under Rule 205(1) of WBSR-I and is not due to any self-indulgence or negligence.

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2 views1 page

Leave Application Report

Arati Biswas, a Sub Inspector in the Food & Supplies department, has applied for Special Sick Leave from May 12, 2026, to May 23, 2026, due to a surgery for a uterine tumor. The application includes a medical certificate and states that she will be leaving the station during this period. The leave is requested under Rule 205(1) of WBSR-I and is not due to any self-indulgence or negligence.

Uploaded by

s7marpan7
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICATION FOR LEAVE

[Link] of applicant: ARATI BISWAS Leave application no:202605123878437


2. HRMS ID: 2023021399
3. Post Held: Sub Inspector
[Link] Department: Leave Other
[Link] Department: Food & Supplies
[Link] Department: Food & Supplies
[Link] Type: WBS (Appointment - P
[Link] Type: Employed
[Link] Rules applicable: Rule 213 of WBSR-I
10. House allowances, conveyance 2892 0 0
allowance, or other Compensatory
allowances drawn in the present post:

11. Nature and period of leave applied for [Link] of leave:Special Sick Leave
and date from which required: [Link] of leave from:12/05/2026 to 23/05/2026
[Link] from:NA to:NA
[Link] from:NA to:NA

[Link] of leave: Medical treatment for sickness or injury either on vessel or in hospital under rule
205(1) of WBSR-I
[Link] on which leave is applied for: Surgery for a uterine tumor

[Link] submitted (if any): Medical certificate

[Link] of return from last leave, and the


nature and Period of that leave:

[Link] you leaving station: Yes


[Link] yes, then period of station leave: From:12/05/2026 To:23/05/2026
[Link] for communication during Bangalore
station leave:
[Link] no. during station leave: 8769396359

[Link]/undertaking (if any): I declare that my ill health is not due to drunkennes/self-indulgence/own wilfull
action/own Carelessness or inexperience
Dated Signature of Applicant

[Link] and/ or recommendation of


the Controlling officer:-

Dated Signature
DISTRICT CONTROLLER

Dated Signature

If the applicant is drawing any compensatory allowance,the Sanctioning Authority should state whether on the expiry of leave
he is likely to return to the same post or to another post carrying similar allowance.

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