Leave Performa Generator for Haryana Govt Employees

Quickly generate a leave performa for Haryana Government employees. Enter your details, select the leave type such as Earned Leave, Half Pay Leave, Child Care Leave, Maternity or Paternity Leave, and print the application instantly.

Leave Application Details
Auto-filled based on selection. Modify only if instructed by office.
End date cannot be before start date
Enter holidays immediately before leave
Enter holidays immediately after leave
Performa Preview

Ready to Generate

Fill the details on the left and click Generate.

Annexure - 1

(See rule 22)


Application for Leave or for Extension of Leave

1 Name and designation
2 [Level/Pay Scale]¹
3 Department
(i) Office
(ii) Branch

(i)
(ii)
4 Date of birth & date of retirement DOB:
DOR:
5 Kind of leave
6 Rule applicable
7 Period of leave applied for or extension of leave
8 Sunday(s) and holiday(s) proposed to be :-
(i) prefixed -
(ii) suffixed -

(i)
(ii)
9 Purpose of leave/extension of leave
10 Last leave availed:-
(i) period of leave -
(ii) kind of leave -
11 Address, contact No. and email ID during the leave period
Mob:
Email:


Signature of Applicant
(with date)

Remarks and/or recommendations of the officer-in-charge.


Signature of Officer-in-charge
(with date)
Designation ....................

For Office Use

Certified that (nature of leave) for (period) from to is admissible under rule .

Signature (with date)
Designation ....................

Orders of the sanctioning authority to grant leave.

Signature (with date)
Designation ....................
Verify all details with your Service Book and HCS Leave Rules before printing.

Applying for leave in a Haryana Government office is not just about choosing dates—it also requires submitting the application in the correct administrative format. Incomplete or non-standard forms often lead to objections, delays, or return of files.

This page provides a standardized Earned Leave Performa prepared for routine office use by Haryana Government employees. The utility above helps you generate a clean, print-ready leave application based on the commonly used Annexure-1 format under the Haryana Civil Services (Leave) Rules, 2016.

Instead of handwriting an application or searching for old photocopies, you can use this tool to generate a properly structured leave request that is suitable for physical file submission.

Process:
Fill details online → Generate → Print → Sign → Submit through proper channel

Important Note:This is a facilitation tool created for employee convenience. It does not override any department-specific format, circular, or instruction issued by the Government or your Head of Office.

Leave Types That Can Be Applied Using This Performa

Although many government employees search specifically for an Earned Leave application format for Haryana, the Annexure-1 format provided in the Haryana Civil Services (Leave) Rules, 2016 is intended as a general leave application and is therefore used for applying for multiple categories of leave, not Earned Leave alone.

Using this performa, employees may apply for:

  • Earned Leave (EL)
  • Half Pay Leave (HPL)
  • Commuted Leave (on medical grounds)
  • Child Care Leave (CCL)
  • Maternity Leave
  • Paternity Leave
  • Extraordinary Leave (EOL) and other admissible leave types

The submission of an application does not imply approval. Leave is granted only after due verification and formal sanction by the Competent Authority.

Leave Rules Reference (Haryana Civil Services Leave Rules, 2016)

The leave options available in this generator are based on the provisions of the Haryana Civil Services (Leave) Rules, 2016, as amended from time to time. The references below are provided only to help employees understand the general rule framework under which different types of leave are regulated.

  • Earned Leave is regulated for most employees under the general leave provisions, with separate treatment for Vacation Wing staff.
  • Half Pay Leave is credited based on qualifying service and is normally availed on half pay.
  • Commuted Leave is granted on medical grounds, subject to admissibility and debit of leave as prescribed.
  • Special leaves such as Child Care Leave, Maternity Leave, and Paternity Leave are governed by specific provisions under the rules.

Clarification:Rule references are indicative and provided for informational clarity only. Actual eligibility, quantum, and sanction depend on service records and decisions of the Competent Authority.

Who Can Use This Leave Performa?

This leave application performa is intended for general use by Haryana Government employees, including:

  • Employee Groups: Group A, B, C, and D
  • Service Status: Regular, Temporary, and Probationary employees
  • Departments: Teaching and Non-Teaching staff across departments such as Education, Health, Engineering, Technical Education, Administration, and allied offices

Special Note for Vacation Wing Employees

Employees belonging to the Vacation Wing (for example, school and college teachers) should ensure that the selected leave type is admissible to them under applicable rules, as leave provisions differ from non-vacation staff.

How to Use the Leave Performa Generator

This utility is designed to generate an office-ready application by filling commonly required administrative fields in a clear and consistent format.

Steps to generate your leave performa:

  1. Employee Details
    Enter your Name, Designation, Department, and Office correctly as per official records.
  2. Pay Details
    Mention your Pay Level or Pay Scale (for example, Level-7).
  3. Nature of Leave
    Select the required leave type (EL, HPL, CCL, etc.). The performa reflects the appropriate reference wording for clarity.
  4. Leave Period
    Select the “From” and “To” dates. The total number of leave days is automatically calculated.
  5. Prefix / Suffix Holidays
    Mention any prefixed or suffixed holidays, if applicable.
  6. Last Leave Availed
    If exact details are not readily available, this field may be left blank. The office establishment branch verifies leave history and balance from the Service Book during processing.
  7. Contact Details During Leave
    Provide the address and mobile number where you can be contacted while on leave.

After generation, print the document, sign it, and submit it through the proper official channel.

Output Format and Printing Standards

The generated leave performa is designed to match routine file submission requirements followed in Haryana Government offices.

  • Annexure-1 Style Layout
    The format follows the standard structure commonly used for leave applications.
  • A4 Print-Ready
    Proper margins and spacing are maintained for clean printing on A4 paper.
  • Office Use Section Included
    Space is provided for office remarks, verification, and sanction details as required during processing.

No additional formatting or editing is required after printing.

Processing and Approval of Leave Applications

After the leave performa is submitted through the proper official channel, the following steps are generally followed:

  • The establishment / dealing branch verifies the employee’s leave balance, eligibility, and service particulars with reference to the Service Book and office records.
  • Where applicable, medical certificates or other supporting documents are examined for admissibility and completeness.
  • The case is then processed and placed before the Competent Authority with relevant remarks for consideration.
  • Leave is treated as sanctioned only after formal approval and issue of orders by the Competent Authority.

Employees are advised not to make travel or personal commitments until the leave has been formally sanctioned.

Common Reasons for Delay or Objection

Understanding common issues can help avoid delays:

  • Incorrect or incomplete employee details
  • Applying for a leave type not admissible to the post
  • Insufficient leave balance
  • Missing medical certificates where required
  • Department-specific restrictions or workload exigencies

Using a clean, standard performa helps reduce—but does not eliminate—such objections.

Frequently Asked Questions

Related Leave Calculation Tools

While this page helps you generate the leave application performa, employees often need to calculate their available leave before applying. For convenience, you may also use the following utilities available on this website:

You can use the Earned Leave Calculator for Haryana Government Employees to estimate your Earned Leave balance based on your service details and past leave availed. This helps you plan the duration of leave accurately before submitting the performa.

Similarly, the Half Pay Leave Calculator for Haryana Government Employees can be used to understand your Half Pay Leave balance and its impact when applying for HPL or Commuted Leave.

Disclaimer

This tool is a facilitation utility designed to help Haryana Government employees generate a clean, printable leave application based on the commonly used Annexure-1 format under the Haryana Civil Services (Leave) Rules, 2016.

It does not verify leave balance, eligibility, admissibility, or the accuracy of information entered by the user. Final acceptance and sanction of leave rest entirely with the Competent Authority and Head of Office.

This website is not affiliated with or endorsed by the Government of Haryana. Employees are advised to verify all particulars from their Service Book and departmental instructions before submission.

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