Annexure C

APPLICATION FOR ISSUE OF NO OBJECTION CERTIFICATE FOR GOING ABROAD

FOR SANCTION OF LEAVE TO BE AVAAILED OUTSIDE OF INDIA
To,
______________________________
(Through Proper Channel)
Sir,
Sub: Issue of No objection Certificate and sanction of leave to be availed
of outside India.
I am possession of passport No.________________ issued by _____________
which I have obtained on the basis of the No objection Certificate issued by you
vide No. _________________________dated_______________. He passport is
valid upto____________________I wish to proceed to _________for the purpose
of
I request that I may kindly be granted permission for the same.
My application of leave from__________________to___________________ is
enclosed herewith.
My service particulars and other details are given below:1.

NAME

2.

FATHERs NAME

3.

DESIGNATION.

4.

DATE OF BIRTH

5.

DATE OF APPOINTMENT IN RAILWAY

6.

GRADE & RATE OF PAY

7.

DIVISION/BRANCH IN WHICH WORKING

8.

STATION OF POSTING

9.

PRESENT RESIDENTIAL ADDRESS.

10.

PERMANENT ADDRESS.

11.

PLACE OF RESIDENCE DURING THE LAST

2 YEARS.

12.

PLACE OF VISIT ABROAD WITH

NAMES OF THE COUNTRIES.

13.

DURATION OF THE VISIT.

14.

ADDRESS WHICH ABROAD.

15.

ESTIMATED EXPENDITURE

16
17

SOURCE OF FUNDS.

If the transaction for the source of funds requires the prior sanction of the
competent authority as per the Railway service/Conduct rules, 1968 (Rules 18)
sanction particulars of the same.

I Declare that:1.

I will not request for release of foreign exchange from Railway

and
will make my own arrangement for the foreign exchange

required
for the trip.
2.

I will not over-stay abroad excerpt with the prior approval of the
competent authority.
3.
I will make my own arrangement to get my leave salary and other
allowances while abroad. I understand that these amounts will be
paid only in Indian Rupees.
4.
I will not seek an financial / assistance from any foreign country/
institution /agency for his/her itinerary.
5.
I will not peruse any study for training while abroad without prior
permission of the admn.,
6.
I will not take up any employment of activity of profit while
abroad.
7.
I will not indulge in any activity which may be pre-judicial to the
interest of m my own country or any other foreign country and my
activities dignity visit/stay abroad will not affect the friendly
relations between my country and any other countries.
8.
I will inform any change of address which may take place during
my
stay abroad to the Railway Administration.
9.
I will not enter into any contract or marriage with a person other
than
Indian Nationality without prior permission of the Govt.
10.
I will adhere to the provisions of Rule 18 of the Railway services
(Conduct Rules 1956 in case I enter into any transaction for
moveable
property.
11.
I clearly understand that I am liable for action under D&AR Rules
in
case violate any of the above provisions at any conduct of
unbecoming of a Railway Servant I am abroad.

Yours faithfully,
Station.
Dated.
Signatures.

Signature of Applicant.
with Name below the

NORTHERN RAILWAY
D.R.M.s Office,
New Delhi.
No.
Dated:
_________________________
________________________
________________________
Sub:
availed

Issue of No objection Certificate and sanction of leave to be

of outside India.

Ref:

Your application dated________________________.

With reference to your application referred above, DRM/DLI has

grated permission to you for going to _____________________and has also

sanctioned leave from_________________to ________________ and
permission from ________________.
The above permission is subject to the conditions mentioned overleaf.

Divl. Personnel Officer,

New Delhi.
Copy to:1.
2.

Important conditions annexed to be followed by the person given permission

for going abroad.
1.
and

He will not request for release of foreign exchange from Railway

will make my own arrangement for the foreign exchange

required
for the trip.
2.

He will not over-stay abroad except with the prior approval of the
competent authority.
3.
He will make my own arrangement to get his leave salary and
other allowances while abroad. It should be clearly understand
that these amounts will be paid only in Indian Rupees.
4.
He will not seek an financial / assistance from any foreign country/
institution /agency for his Itinerant .
5.
He will not peruse any study or training while abroad without
prior
permission of the admn.,
6.
He will not indulge in any activity which may be pre-judicial to the
interest of India or any other foreign country and his
activity during his stay abroad will not affect the friendly relations
between India and any other countries.
7.
He will not take up any employment or activity of profit while
abroad
8.
He will inform of any change of address which may take place
during
his stay abroad to the Railway Administration.
1.
He will not enter into any contract or marriage with a person
other than Indian Nationality without prior permission of the
Govt.
2.
He will adhere to the provisions of Rule 18 of the Railway
services
(Conduct Rules 1956 in case I enter into any transaction for
moveable
property.
3.
It should be clearly understand that he would be liable for
action under D&AR Rules in case violation of any of the above
provisions at any conduct of unbecoming of a Railway Servant
while abroad.
Yours faithfully,
Station.
Dated.
Signatures.

Signature of Applicant.
with Name below the