Form-VI

[See regulation 31(4) ]
Form of Leave Account
Name of employee :
Date of birth :
Date of commencement of continuous service:
Date of compulsory requirement
Note 1 :- Period of extraordinary leave taken should be noted in red ink in column 24 for remarks.

Note 2 :- The entries in columns (10) and (11) should indicate only the beginning and end of completed years of service at the time half pay leave commences. In cases where an employee completes another year of service while on half pay leave the extra credit should be shown in columns (10) and (14) by making suitable additional entries and this should be taken into account when completing column (23)
Note 3 :- Whenever the rate of earning leave changes, the fraction in the earned leave accumulated at an earlier sate should be rounded off to the nearest day i.e. fraction below half should be ignored and that of half or more should be reckoned at a day.

Earned Leave
Earned Leave
Duty from / to Period (in days) Leave earned (in days) Leave at credit (in days ) (Column 9-4) subject to appropriate limiate Leave taken from to No.of days. Balance on return from leave (Col.5-8)
1 2 3 4 5 6 7 8 9


Half pay Leave On private affairs and / of Medical Certificate
Length of service Leave at credit
from To No. of Completed years Leave earned (in days) Leave at credit ( col. 9 plus 13)
10 11 12 13 14

Leave taken Commuted leave on Medical Certificate on fully pay limited to 240 days in entire service.
Against the earning on half-pay
From To Number of Days From To No. of Days
15 16 17 18 19 20


Commuted leave converted into half-pay leave ( twice of col.20) Total half pay leave taken ( col.17 plus 21) Balance on return from leave ( col.14-22) Remarks
21 22 23 24