1 =c,z+ |z n|= :

No. Rank and Name :

2 =ine :
Unit :
3 in=i+a :
Appointment: :
4 s=ie in+||n + i =| :
Arrangement for performance of duty :
5 .|| =z| +| =c :
No of Officers remaining :
6 |i|+.z|.i==|z|.|+i==+ oee|.i=+ i |:n i:=| m=| ;
Annual/Furlough/Sick/Casual Leave period from
= a+ + i =| n +| a|z|a|
To (No of days)
7 oee| + :|z|n a| :
Address on leave :
8 i+an i:n +| |+i==+ oee| | ; :
Days Casual leave availed :
9 =||-| a|iza| |:+ + ;=a|e|z
Station : C/O 99 APO Date : Signature of applicant
10 i=|iz.| +| |a| ;.=z +| |a| ;
Recommended/Sanctioned
=||-| a|iza| +=|n =z + ;=a|e|z
Station : C/O 99 APO Date : Sig of Commanding Officer
11 i=|iz.| +| |a| ;.=z +| |a| ;
Recommended/Sanctioned.
=||-| a|iza| =z +zn | |i|+|z| + ;=a|e|z
Station : C/O 99 APO Date : Sig & Designation of Sanctioning Authy
|....-::u=
I.A.F.L.-1184
=z| + i oee| +| |:n
OFFICERS' APPLICATION FOR LEAVE