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Form Type A(162)

DARUl HUDA ISlAMIC UNIVERSITY


Hidaya Nagar, Chemmad, Tirurangadi
PG SECTION
APPLICATION FOR EXTERNAL DEGREE EXAM LEAVE
Name of the Scholar

Enrolment No Semester

Department
External Degree Details
Enrolment No Semester

University

Exam Centre

Core Course
Status of Previous
Semester
Core/Open/Complem
Sl.No Date Day Subject Remarks
entary
1

10

Signature of the Scholar Signature of the HoD


Date Date
NB: Please attach a photocopy of Hall ticket along with this form

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