Indian Institute of Management: Application For The Medical Leave/Family Emergency

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Annexure- IX

Indian Institute of Management


Application for the Medical Leave/Family Emergency
Name: Abhishek Ahuja
Enrolment Number: MBA22160
Period of Leave: 18/08/2022 (evening) to 21/08/2022 (morning)

Describe the reason for leave (Attach documentary proof viz., Medical certificate etc.)

I want to take leave from 18/08/2022 (evening ) to 21/08/2022 (morning) as I am planning to go to Shree
Vaishnav Devi Temple. So I request you to approve my leave, as I joined the regular classes on 22/08/2022.

Whether recommended by the Chairperson (Student Affairs’) and Hostel Warden?


Particular Whether recommended or not? (with signatures)
Hostel Warden
Chairperson (Student Affairs)

Whether approved or not by the Chairperson (MBA)?


Chairperson (MBA)

Note:
For grounds other than sickness or family emergency, leave may not be granted for a period exceeding three
teaching days and even can be denied. Before applying for leave to the Chairperson (MBA), through Chairperson
(Student Affairs’) and Warden, student should contact his/her course instructors to ensure that s/he is not missing
any quizzes or examinations during the leave period. No attendance will be granted for such leaves. Students must
refrain from approaching the visiting and full time faculty members for any exemptions in attendance on any
grounds.
The PGP Office or the concerned faculty will not be responsible for the student losing any segment of evaluation
on account of his/her leave or not meeting the minimum desired attendance of 80%.

In general, for medical treatment in Jammu city or in any other city, student must be referred by the Institute's
Doctor/ Visiting Doctor / Health Centre. Resident Doctor's/Visiting Doctor’s reference may not be required only
in case of emergency.

Page 58 of 64

You might also like