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AVVAIYAR COLLEGE OF ENGINEERING & TECHNOLOGY FOR WOMEN

THIRUVANDARKOIL, PUDUCHERRY.

STUDENT LEAVE APPLICATION FORM Date:

Name of student : year /Dept:


Reg : sem:
Duration of Leave : From to No.of days:
Reason for Leave : No.of Leave taken so far:
Note : In case of Medical leave, enclose medical certificate with leave form.
verified by Approved by

Signature of student (Class Advisor) (Head of the Department )

AVVAIYAR COLLEGE OF ENGINEERING & TECHNOLOGY FOR WOMEN


THIRUVANDARKOIL, PUDUCHERRY.

STUDENT LEAVE APPLICATION FORM Date:

Name of student : year /Dept:


Reg : sem:
Duration of Leave : From to No.of days:
Reason for Leave : No.of Leave taken so far:
Note : In case of Medical leave, enclose medical certificate with leave form.
verified by Approved by

Signature of student (Class Advisor) (Head of the Department )


AVVAIYAR COLLEGE OF ENGINEERING & TECHNOLOGY FOR WOMEN
THIRUVANDARKOIL, PUDUCHERRY.

STUDENT LEAVE APPLICATION FORM Date:

Name of student : year /Dept:


Reg : sem:
Duration of Leave : From to No.of days:
Reason for Leave : No.of Leave taken so far:
Note : In case of Medical leave, enclose medical certificate with leave form.
verified by Approved by

Signature of student (Class Advisor) (Head of the Department )

AVVAIYAR COLLEGE OF ENGINEERING & TECHNOLOGY FOR WOMEN


THIRUVANDARKOIL, PUDUCHERRY.

STUDENT LEAVE APPLICATION FORM Date:

Name of student : year /Dept:


Reg : sem:
Duration of Leave : From to No.of days:
Reason for Leave : No.of Leave taken so far:
Note : In case of Medical leave, enclose medical certificate with leave form.
verified by Approved by
Signature of student (Class Advisor) (Head of the Department )

AVVAIYAR COLLEGE OF ENGINEERING & TECHNOLOGY FOR WOMEN


THIRUVANDARKOIL, PUDUCHERRY.

STUDENT LEAVE APPLICATION FORM Date:

Name of student : year /Dept:


Reg : sem:
Duration of Leave : From to No.of days:
Reason for Leave : No.of Leave taken so far:
Note : In case of Medical leave, enclose medical certificate with leave form.
verified by Approved by

Signature of student (Class Advisor) (Head of the Department )

AVVAIYAR COLLEGE OF ENGINEERING & TECHNOLOGY FOR WOMEN


THIRUVANDARKOIL, PUDUCHERRY.

STUDENT LEAVE APPLICATION FORM Date:

Name of student : year /Dept:


Reg : sem:
Duration of Leave : From to No.of days:
Reason for Leave : No.of Leave taken so far:
Note : In case of Medical leave, enclose medical certificate with leave form.
verified by Approved by

Signature of student (Class Advisor) (Head of the Department )

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