Schedule- 7 (Relating to Sub-rule (2) of Rule 114)

Schedule- 7 (Relating to Sub-rule (2) of Rule 114)

Schedule- 7
(Relating to Sub-rule (2) of Rule 114)
Description of leave and medical expenses

Name of employee:
Level and post :
Service/group: :
Code No.

Casual and
Festival Leave
Total
Home Leave Total
Sick Leave Total
Maternity
Leave
Total
Obsequies
Leave
Total
Study Leave Total
Extraordinary
Leave
Total
Received
for
medical
Expenses
Date
Signature of
the Officer to
be certified
Remarks
Description
Used
Balance
Used
Balance
Used
Balance
Used
Balance
Used
Balance
Used
Balance
Used
Balance
Amount