Schedule-12C.347
(Relating to Rule 63A.)
Format of bond to be executed by a civil employee in the course of
requesting for extra-ordinary leave to serve in a national and
international organization/ institution
(This bond must be submitted along with the application made for approval of
extra-ordinary leave)
Whereas, I————–,serving in the post of …………………………………..
Ministry/Commission/Secretariat/Department/Office have, vide the decision of
the Government of Nepal (….level), dated………., obtained prior approval to
serve in ……..organization/institution from …………to …………..;
Now, therefore, I hereby make this request for the extra-ordinary lever to
service in the said organization/institution for the said period. If the leave is
approved, I shall attend the body in which I have lien immediately on the
expiration of the period of leave, and shall, upon returning from the leave,
compulsorily serve for the period equal to the period of my leave.
Official causing bond to be executed: Civil employee making bond:
Signature: Signature:
Name: Name:
Post: Post:
Office: Office:
Date: Date:

347 Inserted by Seventh Amendment.