Annexure 1
APPLICATION OF LEAVE
School of Business Management
NAME: _______________________________________________________________
Date: ______________
Email ID: _____________________________________________Mobile No. ____________________________
Programme: _____________________ Trimester/Semester _________ Roll No. : ____________Div: ________
Leave Period: From: ____________________ to ___________________ No. of Days missed: ____________
Reason: -
I have missed more than 20 % sessions for the reasons as mentioned below and request you to consider this
application for my attendance purposes on a special case basis (As per SRB). I understand that 20 % absence is
permitted which includes sessions missed for all reasons (Personal, Medical etc.)
I also confirm that I have not missed any sessions for any other reasons. (If missed more than below mentioned
sessions, student should specify the reason ________________ and if application with relevant documents have been
submitted to Academic office (YES/NO)
Students Signature: __________________
Course(s)
To be Filled by Students
Enclosures: _______________________________
To be filled by Students
(For Office use)
No. of Class
Class attended
held during
during said
leave period
period
Exemption
(s)
Attendance as on
date:
Checked by Course Coordinator (Signature):
Approved by
Program Chairperson
Assistant Registrar Academics
Dean -SBM
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