PARUL UNIVERSITY
PARUL INSTITUTE OF APPLIED SCIENCES
STUDENT LEAVE APPLICATION FORM
Date: eq Iq I
i
e.B
To,
The Principal
Parul Institute of Applied Sciences,
Parul University
Waghodia, Vadodara
Name of the Student: 6neJ.i ~ejO\,,
Enrollment No: e§II a11e 1>0CJ q .1
Period of Leave applied: FROM ~/ 10/ ~ B To 80 / IO/ eb
Total number of days: e ~
Respected Sir,
I beg to state that kindly grant me leave for ~days from
80/10/2~ for HoJ. d~
0
r' 1)jw~,· V(}.1.,4,'oYl
I assure you that
I would resume my studies from
Thanking you,
Yours faithfully,
0n4 1)tJ01M~·~ no..t-io-td lCI.
Parent/Guardian's Name
d W?,lt,, ~ ·o-v
Student's Nam
Student's Signature Parent/Guardian's Signature
Whether approved: Yes/ No
Principal HOD Signature Mentor signature