Scribd
Upload
154 views

Child Care Leave Application Form

The document is an application form for child care leave, requiring details such as the applicant's name, designation, and information about the child or children for whom leave is requested. It includes sections for the reason for leave, duration, and any necessary permissions. Additionally, it requires signatures from both the applicant and the leave sanction authority.

Uploaded by

neharasharad
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
154 views

Child Care Leave Application Form

The document is an application form for child care leave, requiring details such as the applicant's name, designation, and information about the child or children for whom leave is requested. It includes sections for the reason for leave, duration, and any necessary permissions. Additionally, it requires signatures from both the applicant and the leave sanction authority.

Uploaded by

neharasharad
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
You are on page 1/ 1

APPLICATION FOR CHILD CARE LEAVE

1. Name of the Applicant :

2. Designation :
3. Dept/Office/Section
:

4. Detail of Child/Children : Name Date of Birth


…………………………………..…….
…………………………………..…….
…………………………………..…….
5. Name of Specially abled Child :

6. Name of Child for whom Child care


:
leave is applied for

7. Date of Birth of the Child :


8. Date of which child will be attaining age
:
of 18 years
9. Is the child among the two eldest
: Yes/No
children
10. Period of Leave & Number of Days From …………….. To ………………….. Days ……………..
:
Prefix/Suffix of holidays, if any

11. Reason (s) for leave applied for :

12. Total Child Care Leave availed till date :


13. (a) Whether permission to leave
: Yes/No
station is required
(b) If Yes, Address during leave period :
14. Date of return from last leave, &
:
nature and period of that leave

Date : Signature of applicant


Employee ID No.

Leave Sanction Authority


Remarks of Controlling Officer Leave Recommended / Leave Not Recommended

Date : Signature :
Designation : Office :

www.rajteachers.net

You might also like