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Leave Application Form

This document is an application for a leave of absence from a school, requiring the student to provide personal details, leave period, and reasons for missing classes. It also includes sections for office use to track attendance and exemptions. The application must be signed by the student and verified by school officials for approval.

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stalkertalkerme
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2 views1 page

Leave Application Form

This document is an application for a leave of absence from a school, requiring the student to provide personal details, leave period, and reasons for missing classes. It also includes sections for office use to track attendance and exemptions. The application must be signed by the student and verified by school officials for approval.

Uploaded by

stalkertalkerme
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICATION OF LEAVE OF ABSENCE

School of………………………..

NAME: ______________________________________________________________ Date: _________________

Email ID: _____________________________________________Mobile No. ____________________________

Program: _______________________ Trimester/Semester ___________ Roll No. : ____________Div: _________

Leave Period: From: _____________________ to ____________________ No. of Days missed: ______________

Reason: -

I have missed more than 20 % of sessions for the reasons mentioned below and request you to consider this
application for my attendance purposes on a special case basis (As per SRB).

Student’s Signature: ___________________________ Enclosures: _______________________________

To be filled by Students
(For Office use)
Course(s) / subject(s) No. of Class / Class / Hours Exemption (s) in Attendance as of
hours held during attended during hours to be given a date before the
the leave period the said period for above reason exemption

____________________________________ ___________________________
Checked by Course Coordinator (Signature) Verified by AR / DR (signature)

________________________________________________
Approved by HOD/Associate Dean/Dean/Director
(School can update signatories as per school specifications)

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