DETAILS OF TEACHERS WHO ARE IN LONG LEAVE MORE THAN SIX MONTHS

RAJANNA SIRICILLA DIST.

No. of. Teachers     2

Sl. No.

Name of the Teacher

Designation School Mandal Date
of
first App
Date
of
Joining in Present School
Date
of
Leave
Type
of
Leave
If it is Medical Leave Whether Leave is Sanctioned If Leave is Sanctioned Whether Leave is Authorized or Unauthorized

Whether Leave is Extended from Competent Authority

Submitted
FORM-A
Date of issue of
FORM-A
Name of the
Authority Issued
FORM-A
Disease Proceeding
Number
Proceeding
Date
Issued By