Application For Maternity Leave

1. Name of the Applicant : Saba Mushtaq

2. Designation : Teacher
3. Department office/Section : Department of Education
4. Name of Child for whom Maternity leave : Tajalla Irfan Khan
is applied for
5. Date of Birth of the Child : 25-May-2017
6. Date on which child will be attaining 18 : 25-May-2035
years
7. Is the child among the two eldest children : Yes
8. EL in Credit as on Date :
9. Period of Leave Days : From 25-May-17 to 25-Nov-17
Prefix/Suffix of holidays, if any
10. Reasons for Leave applied for : Maternity
11. Total maternity leave availed till date : None.
12. (a) Whether permission to leave station is : Yes
required
(b) if yes, Address during leave period : Ezdan 11, Alwakra, Doha, Qatar
PO Box 82571
13 Date of Return from Last Leave, & Nature : 3 Months Medical Leave -
and period of that leave

Date: 25-May-2017 Signature of Applicant

Pay card No_________

Remarks of Controlling Officer

Leave Recommended / Leave not Recommended
Date: Name:
Designation:
Officer:
 Dated 25-May-17
The Headmaster
Govt Boys High School
Fatehpora Baramulla

Subject: Application for Maternity leave

Respected Sir,
With reverence and regards, it is submitted as under for favourable action on the subject cited
above;
That I have given birth to a child and therefore It is requested to kindly sanction the
maternity leave in my favour with effect from 25-May-2017 onwards, so that I may take proper
care to my newly born child.
Hope your kind self will sanction the same in my favour accordingly so that I may take
care of my health and the newborn without any problems.
Thanking you sir.

Yours faithfully,

Saba Mushtaq
Teacher
Govt High School Fatehpora
Baramulla
Sr. No 8