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certificate from CGHS/AMA, he may obtain a certificatefrom an RMP 26[2] .(iv) Leave sanctioning authority may -(a) Refuse or revoke any kind of leave [Rule 7(2)].(b) Commute retrospectively periods of absencewithout leave into extra ordinary leave [Rule 32(6)] and(c) Secure second medical opinion, if needed, whenleave is applied on medical grounds [Rule 19(3)].(v)Leave sanctioning authority cannot alter the kind ofleave due and applied for [Rule 7(2)].(vi)Earned leave should not ordinarily be denied to anyemployee especially in the last 10 years of his career 27[3] .(vii)No leave of any kind can be granted for a continuousperiod exceeding 5 years except with the sanction of thePresident [Rule 12].(viii)Any kind of leave may be granted in combination with orin continuation of any other kind of leave except CasualLeave [Rule No. 11].(ix)When the period of leave is preceded or followed byholiday(s) /Sunday/ Saturday/Restricted Holiday thensuch holidays shall not be counted as leave. In otherwords, the employee shall be deemed to have beenpermitted on such holiday(s) without taking leave 28[4] .(x)An employee on leave (including leave preparatory toretirement) shall not return to duty during the period ofleave except with the permission of the competentauthority [Rule 24 (1) & (2)].(xi)An employee on leave should not take up any service oremployment elsewhere without prior sanction from thecompetent authority [Rule 13].(xii)An employee on leave on medical ground will be allowedto return to duty only on production of medical26[2] Effective from 01.09.2000 vide DoP&T O.M. No. 13015/3/2000-Estt(L) dtd. 24.08.200027[3]DoPT O.M. No. 14028/19/86-Estt.(Leave) dated 29.09.8628[4]MHA O.M. No. 20/37/60-PUB(i) dtd. 07.10.1960 and Rule 22Page 76 of 76