M E S INSTITUTE OF TECHNOLOGY &
MANAGEMENT, CHATHANOOR P O, KOLLAM
CASUAL LEAVE APPLICATION FORM
[Please ensure that all sections of the form are completed accurately to facilitate prompt
processing of your leave application.]
1. Name of Applicant:
2. Designation:
3. Department:
4. Date(s) of Leave Applied For:
5. Number of Days:
6. Reason for Leave:
7. Whether prior permission has been sought for this leave? YES/NO
8. Alternative Arrangements made for Classes/Labs during leave:
Course: Date: / / Handled by:
Course: Date: / / Handled by:
Course: Date: / / Handled by:
For Elective/Minor/Honors courses, provide the details of make-up classes
taken:
Course: Make-up Date: / /
Course: Make-up Date: / /
Course: Make-up Date: / /
[Additional sheets may be attached, if required]
9. Applicant's Signature: Date:
10. Approvals
Signature &
Authority Recommendations/Remarks/Orders
Date
Head of the
Recommended / Not Recommended
Department
Establishment Eligible / Not Eligible
section
Principal Approved / Not Approved