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Leave Application Report

Najima Khatun, a permanent staff nurse in the Health & Family Welfare department, has applied for one day of casual leave on December 15, 2025, due to family problems. The application follows Rule 207 of WBSR-I and indicates that she will not be leaving the station during this period. The document includes details about her employment, previous leave, and a declaration for communication during her leave.

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44 views1 page

Leave Application Report

Najima Khatun, a permanent staff nurse in the Health & Family Welfare department, has applied for one day of casual leave on December 15, 2025, due to family problems. The application follows Rule 207 of WBSR-I and indicates that she will not be leaving the station during this period. The document includes details about her employment, previous leave, and a declaration for communication during her leave.

Uploaded by

yamangamer7533
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd

APPLICATION FOR LEAVE

[Link] of applicant: NAJIMA KHATUN Leave application no:202512156044958


2. HRMS ID: 2009003561
3. Post Held: STAFF NURSE
[Link] Department: Leave Other
[Link] Department: Health & Family Welfare
[Link] Department: Health & Family Welfare
[Link] Type: Permanent
[Link] Type: Employed
[Link] Rules applicable: Rule 207 of WBSR-I
10. House allowances, conveyance 5892 0 280
allowance, or other Compensatory
allowances drawn in the present post:

11. Nature and period of leave applied for [Link] of leave:Casual Leave
and date from which required: [Link] of leave from:15/12/2025 to 15/12/2025
[Link] from:NA to:NA
[Link] from:NA to:NA

[Link] of leave: Private Affairs

[Link] on which leave is applied for: Family problems

[Link] submitted (if any):

[Link] of return from last leave, and the 18/10/2025,Casual Leave,13/10/2025 To 17/10/2025
nature and Period of that leave:

[Link] you leaving station: No


[Link] yes, then period of station leave:
[Link] for communication during
station leave:
[Link] no. during station leave:

[Link]/undertaking (if any):

Dated Signature of Applicant

[Link] and/ or recommendation of


the Controlling officer:-

Dated Signature
BLOCK MEDICAL OFFICER OF
HEALTH

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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