Research Centre for Modeling & Simulation (RCMS)
A center of excellence for quality education and research
LEAVE APPLICATION FORM (Students)
Name:
________
(In block letters)
Class/Secti
on:
Regn No: ________________________
(Write complete format)
No of Lectures:
(in case of short leave)
______ __
Leave
from:
To:
No. of Days:
__
______
____
Reason:
Detail of Documents/
Proof: (if attached)
___
_
Date:
Applicants Signature
Approved leave will not be considered while calculating 75% attendance which is minimum requirement to
undertake end semester exam. However the student will not be charged any fine against approved leaves.
(For Office use only)
No:____________
Serial
Recommended/ Not Recommended
Instructor
Program Coordinator
------------------------------------------------------------------
Approved/Not Approved
(Dean / Principal)
------------------------------------------Leave entered/not entered in the attendance record __________________
(Computer Operator)