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Student Leave Application

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Vedant
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130 views2 pages

Student Leave Application

Uploaded by

Vedant
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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JAYAWANT SHIKSHAN PRASARAK MANDAL’s

JAYAWANTRAO SAWANT POLYTECHNIC


( Sr. No. 58, Handewadi Road, Hadapsar, Pune- 28.)
Academic Year ____________

Date: / /
Student Leave Application
From,

Student Name:_____________________________________ Class and Division:__________ Roll No………

Student Contact No.:…………………………………Father/Mother Contact No.:………………………………

To,
The HOD,
Name of Department:
J. S. Polytechnic, Hadapsar, Pune-28.

Respected Sir/Madam,

I request you to please grant me the leave from date…….…….to date………… total days ............

Reason for the leave


____________________________________________________________________________________________________
_____________________________________________________________________________________________________
______________________________________________________________________________________________________

Promised that,

a. I will maintain the attendance as per rules and regulation of the MSBTE.
b. I will complete my work given by subject teacher during my absent period and report to
GFM

Sign of Student Sign of GFM

Sign of CT Sign of HOD

Remark: Approved / Not Approved

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