LEAVE LETTER

Dt.: __-__-2020,
Guntur.

To
The chief warden,
IPL Hostel,
Aachayra Nagarjuna University,
Guntur.

Name of the student :

Course & year :
Room no. & Block.no :
Leaving time and Date :
Arriving time and Date :
Place and Address :
Purpose of leave :
Ph.no of guardian :
Declaration: university is not responsible for my journey.

Signature of the Signature of residential Signature of chief

Student warden warden