ORIGINAL – LEAVE / EXCUSE REQUEST FORM

Leave / Excuse request from*
- Lectures
- Presentation/ Assignment
Student Name in Full*
Registration No.*
Email*
Program*
Batch*
Duration*
Reason for Absence*
- Medical
- Official
- Personal
NOTE: STUDENT HAS TO PROVIDE SUPPORTING DOCUMENTS WHEREVER RELEVANT PRIOR TO THE CONCERNED DATE
Brief Explanation*
Supporting Documents
Drop files here or
Date*
Approval (For office use only)
Evidence
- Attached
- Not Attached
Status
- Accepted
- Rejected
Coordinator
Date of Approval (HDC with Number / Coordinator / Lecturer)

Post navigation