Leave Sanction Form

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Leave Application Form

(To be completely filled and forwarded to DSA)

Student Name: ________________________Father’s Name: ________________________

Subject: ______________________________Class/Program: ________________________

Roll No: ______________________________Semester: _____________________________

Session: ______________________________

Nature of Leave:

Religious Leave Marriage Leave Maternity Leave

Legal Issues Leave Medical Leave Quarantine Leave

Ex-Pakistan Leave Sports Student Leave Others

Details/ Reason of Leave:

_________________________________________________________________________

_________________________________________________________________________

Leave Duration:

Date: - ______________to________________ No. of Days_______________

Remarks (Class In charge):

_________________________________________ Signature: ________________

_________________________________________ Date: ____________________

Remarks (Chairperson of Department):

__________________________________________ Signature: ________________

__________________________________________ Date: ____________________

Note: - Attach all relevant documents

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