CENTRAL BOARD OF SECONDARY EDUCATION
SHIKSHA KENDRA, 2, COMMUNITY CENTRE,
PREET VIHAR, DELHI – 110 092

APPLICATION FORM FOR CASUAL LEAVE / R.H.

Name of the Employee_____________________________Branch__________________ Designation _______________________ Casual Leave / R.H. applied for ____________ days i.e. from ____________________________ Reason/on account of ______________ _______________________________________________________________________.

Dated______________					Signature________________

…………………………………………………………………………………………………………………
R.H. / C.L. due _______ days

Applied _____________ days

Balance______________ days

Entry made in CL/RH register on page No.________ at Sl. No.___________.

	
C.L./R.H. for _______________ days may kindly be sanctioned.

Signature
(Dealing Asstt.)

S. O.

D.S.