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    Leave Application Form: Department of Mechanical Engineering

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    Pratik Sanjay Kakade
    Pratik Sanjay Kakade, a 5th semester mechanical engineering student with roll number 11, is applying for 7 days of medical leave from the 13th to the 20th for a medical checkup and treatment. He will be staying at his home address in Pangare, Purandar, Pune during his leave and can be reached by phone at 7038069076. The application requires recommendations from his Group Faculty Mentor, Class Coordinator and Head of Department.

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    Leave Application Form: Department of Mechanical Engineering

    Uploaded by

    Pratik Sanjay Kakade
    19 views1 page
    Pratik Sanjay Kakade, a 5th semester mechanical engineering student with roll number 11, is applying for 7 days of medical leave from the 13th to the 20th for a medical checkup and treatment. He will be staying at his home address in Pangare, Purandar, Pune during his leave and can be reached by phone at 7038069076. The application requires recommendations from his Group Faculty Mentor, Class Coordinator and Head of Department.

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    Pratik Sanjay Kakade, a 5th semester mechanical engineering student with roll number 11, is applying for 7 days of medical leave from the 13th to the 20th for a medical checkup and treatment. He will be staying at his home address in Pangare, Purandar, Pune during his leave and can be reached by phone at 7038069076. The application requires recommendations from his Group Faculty Mentor, Class Coordinator and Head of Department.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    19 views1 page

    Leave Application Form: Department of Mechanical Engineering

    Uploaded by

    Pratik Sanjay Kakade
    Pratik Sanjay Kakade, a 5th semester mechanical engineering student with roll number 11, is applying for 7 days of medical leave from the 13th to the 20th for a medical checkup and treatment. He will be staying at his home address in Pangare, Purandar, Pune during his leave and can be reached by phone at 7038069076. The application requires recommendations from his Group Faculty Mentor, Class Coordinator and Head of Department.

    Copyright:

    © All Rights Reserved
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    of 1

    LEAVE APPLICATION FORM

    DEPARTMENT OF MECHANICAL ENGINEERING

    SEM:5th A. Y. 2018__-2019___

    NAME:…Pratik Sanjay Kakade

    …………………………………………………………………………………………………………………………………………………

    CLASS:………TE…………ROLL NO:……11………… NAME OF GFM : Nimbalkar sir


    ……………………………………………………………………….

    LEAVE: for medical…………… FROM: …13………………TO:…………20…………..NO OF


    DAYS:……………7………………………………………

    LEAVE REASON: ……………Because of medical checkup and Treatment


    ……………………………………………………………………………………………………………………………

    LEAVE ADDRESS(FOR MORE THAN 3DAYS) : ……………………………………………………………………………………………

    ………At Post : Pangare , Tal : Purandar , Dist : Pune , Pin : 412301


    ……………………………………………………………………………………………………………………………………………………

    PHONE NO. :…………7038069076……………………………………..

    ( Pratik Kakade)

    SIGNATURE OF APPLICANT

    RECOMMENDATION BY GFM …………………………………………………………………………………………………………………

    RECOMMENDATION BY CC …………………………………………………………………………………………………………………

    RECOMMENDATION BY HOD ………………………………………………………………………………………………………………..

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