Child Care Leave Application Format(Eng & Hindi)

If you are searching for Child Care Leave Application Format here you can find the same. You can also download the format. To get Hindi Format in PDF Scroll down.


  1. Name of the Applicant : ___________
  2. Designation : ___________
  3. Dept/Office/Section : ___________
  4. Name of Child for whom Child
    Care leave is applied for : ____________
  5. Date of Birth of the Child : ____________
  6. Date on which child will be attaining
    18 years. : _____________
  7. Is the child among the two eldest
    Children : Yes/No
  8. EL in credit (as on date) : _____________
  9. Period of Leave- Days : From_________To_______
    Prefix/Suffix of holidays, if any : ___________
  10. Reason(s) for leave applied for : ___________
  11. Total Child Care Leave availed till date : ____________
  12. (a) Whether permission to leave : Yes/No
    station is required
    (b) If Yes, Address during : ____________
    leave period ____________
  1. Date of return from last leave, : ____________
    & nature and period of that leave ____________

Date : _

Signature of applicant
Remarks of Controlling Officer
Leave Recommended / Leave Not Recommended.
Date :___

Hope this Child Care Leave Application format is fulfilled your requirement. Visit our blog regularly for more updates from Government.

Child Care Leave Application Format Download PDF Hindi I English

To Ask your Doubt Join Our Telegram Channel.

Leave a Comment