Professional Documents
Culture Documents
359 PM Office Lens
359 PM Office Lens
a. No. of days 2
5. Reason for Leave
(If medical. kindly get Endorsement fe ver-
from the Institute Doctor in the
prescribed form
6. Course details
List all the courses of Total no. of Date(s)of Class(es) No. of classes Total no. of
clmssesmissed sessions in the classes missed missed earlier missed / to be classes missed
course missed this
time
14 Il -q;17; 12-9-17 2 2
(1-3-17, N one 2
15 -4-17; rub n e 2 2
Travel Schedule
PROFORMAFOR MEDICALLEAVE