Professional Documents
Culture Documents
Leave Application Form2012-14
Leave Application Form2012-14
(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