FORM F [See rule 37(iii0] Name of establishment………………………………. Place……………… Name and designation of the working journalist…………………. Calendar year of service….. Duty Earned Leave From To Balance of leave Due Availed Balance From preceding ----------------------- Year From To 1 2 3 4 5 6 7 1 Ins. by G.S.R. 1320 , dated the 1st August, 1963 Leave on medical certificate Availed Due ------------------------- Balance Category of leave From To 8 9 10 11 12 Due Other kinds of leave availed Remarks --------------------------------- From To Balance 13 14 15 16 17
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