GRAPHIC ERA UNIVERSITY
LEAVE APPLICATION FORM (TEACHING STAFF)
1. NAME:-
2. DESIGNATION:-
3. DEPARTMENT :-
4. TYPE OF LEAVE(TICK APPROPIATE BOX/BOXES)
(a) Casual leave (b) Duty Leave
(c) Vacation Leave (d) Station Leave
(e)
5. PROCEEDING OUT OF STATION YES NO
6. PERIOD OF LEAVE: - FROM……………………..TO……………………………….
7. PURPOSE OF LEAVE:-…………………………………………………………………….
8. ARRANGEMENT FOR TEACHING LOAD/OTHER DUTIES: ………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
9. ADDRESS, IF GOING OUT OF DEHRADUN: ……………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………..
PHONE NO: MOBILE:
SIGNATURE
_______________________________________________________________________________________________
1. LEAVE AVAILED ALREADY DAYS
2. LEAVE DUE(STILL) DAYS
3. LEAVE ASKED FOR DAYS
4. BALANCE,IF ANY DAYS APPROVED
ENTERED IN LEAVE REGISTER
ASSISTANT H.O.D
NOTE: Faculty Members who are assigned examination duty will route their application through the Controller of
Examinations.