Child Care Leave (CCL) Application Child Care Leave Name of the Applicant Employee ID Designation Dept/Office/Section Detail of Child/Children (बच्चो का विवरण) Name of Specially abled Child Name of Child for whom Child care leave is applied for Date of Birth of the Child Date of which child will be attaining age of 18 years Is the child among the two eldest children क्या बच्चा दो सबसे बड़े बच्चों में से है YES NO Period of Leave & Number of Days Prefix/Suffix of holidays, if any FROM TILL DAYS Reason (s) for leave applied for Total Child Care Leave availed till date Section Whether permission to leave station is required क्या मुख्यालय छोड़ने की अनुमति की आवश्यकता है YES NO If Yes, Address during leave period Date of return from last leave, & nature and period of that leave If you are human, leave this field blank. Submit