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LORDS INSTITUTE OF ENGINEERING & TECHNOLOGY

Himayat sagar, Hyderabad-08


LEAVE APPLICATION FORM: CL / CCL / LOP

Name: Date:
Designation: Department:
Leave Applied ON: No. of days:
Class & counseling adjustment details: If CCL [of, date]:
S.No. Date Year & Branch Name of Subject / Time Adjusted by signature
counseling

Leave status Available: Availed: Availed in this month: Remarks:

Signature of Faculty: Examination Branch: Recommended/ Sanctioned /


Not recommended Not sanctioned
by HOD: by principal:

LORDS INSTITUTE OF ENGINEERING & TECHNOLOGY


Himayat sagar, Hyderabad-08
LEAVE APPLICATION FORM: CL / CCL / LOP

Name: Date:
Designation: Department:
Leave Applied ON: No. of days:
Class & counseling adjustment details: If CCL [of, date]:
S.No. Date Year & Branch Name of Subject / Time Adjusted by signature
counseling

Leave status Available: Availed: Availed in this month: Remarks:

Signature of Faculty: Examination Branch: Recommended/ Sanctioned /


Not recommended Not sanctioned
by HOD: by principal:

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