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INDIAN INSTITUTE OF FOREIGN TRADE

LEAVE APPLICATION FORM


MBA (IB) 2012-14
Kolkata Campus

(Submit in Duplicate)
1. Name: ________________________________________ Roll No.______
2. Dates for which leave is requested for:From____________________ To___________________
3. Address during the period of Leave:________________________________________________________________________
Ph. No___________________ email id______________________________________
4. Reason for Leave request:________________________________________________________________________
5. Documentary Evidence for the Reason ______________________________
(It is necessary to provide documentary evidence for leave unless it is an emergency. Also you
need to attach photocopy of ticket if you are leaving station. Leave may be approved without any
attendance waiver.
6. Attendance Waiver for activities such as Placement Committee Job, IMF, attending
B-School Events
Nature of Activities

Date
From

To

List of Lectures to be
missed

7. Signature of the Student with Date: ____________________________________


8. Approved / Not Approved

Signature with date


Programme Director
MBA (IB) 2012-14
Head (for Information)

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