KSR Form No. 13 – Application for Leave (Personalised PDF)

KSR Form No. 13 – Application for Leave (Personalised PDF)

Rs. 10.00
Rs. 10.00
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This form (Form No. 13: Application for Leave) is for Kerala State Government employees applying for formal leave under Rule 113, Part I of the Kerala Service Rules (KSR).

  • Target Users: Both Gazetted and Non-Gazetted officers/staff across all government departments, offices, and sections in Kerala.

  • Purpose: It serves as the official statutory application submitted to a controlling officer or sanctioning authority to request eligible leave (such as Earned Leave, Half Pay Leave, or Commuted Leave).

  • Applicant Scope: The applicant completes items 1 through 16—including service details, post and pay scale, leave period, grounds, and statutory undertakings regarding leave salary.

  • Official Processing: Page 2 is reserved for administrative use, including recommendations by the Controlling Officer and admissibility certification by the Accountant General (A&E) for Gazetted Officers before final sanction.

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Your designation, e.g. Clerk, Upper Division Clerk, High School Assistant.
Fill all details (optional)
Your department, the office where you work and your section, e.g. Revenue Department, Taluk Office Neyyattinkara, Section B.
Your present basic pay and the pay scale of your post, e.g. Rs. 35,600 in the scale Rs. 35,600 - 75,400.
The date you first joined government service.
If your service had a break, the date your present unbroken service began. Leave blank if it is the same as the date of entry.
If you have been confirmed (made permanent) in a post, give the date and the post, e.g. 01/04/2015, Clerk. Leave blank if not confirmed.
Where you can be contacted while you are on leave.
House Rent Allowance, conveyance or any other compensatory allowance you now draw, with the amount. Leave blank if none.
Type of leave, number of days and the first day of leave, e.g. Earned Leave, 10 days from 05/01/2026.
Sundays or holidays falling just before (prefix) or just after (suffix) the leave that you want to add to it, e.g. Prefix: 04/01/2026 (Sunday). Leave blank if none.
The reason for taking leave, e.g. personal affairs, medical treatment.
When you returned from your previous leave, what type it was and how long, e.g. 12/08/2025, Casual Leave, 2 days. Leave blank if this is your first leave.
Total Rs. 10.00 (Taxes included)

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