FORM E
[See rule 23(d))
LEAVE ACCOUNT

Name of establishment………………………. Place………………………………..
Name of the Sales promotion employee……..  Date of joining service………………

Period of duty		No. of days	Leave earned	Balance of leave carried over	Total leave due	Earned leave		Balance of earned leave	Leave on Medical Certificate			Other kinds of leave		Remarks
From	to					From	to		Due	Availed		Availed
										From	To	From	To
1	2	3	4	5	6	7	8	9	10	11	12	13	14	15