FORM IX
(See Rule 27)
Application for leave of absence
(By relative or others)

Sir,
Subject: Request for leave of absence of Sh./Smt. .................................aged................
Years admitted on................................... to your institute.
I request that Sh./Smt.......................................... son/daughter of.......................................
be delivered to my care and custody on leave of absence.
I hereby bind myself that on the said Sh./Smt............................. being made over to my
care and custody, I will have him here/properly taken care of and prevent from doing injury to himself/herself or to others.
Yours faithfully,
Signature......................................
Name............................................