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THE INDIAN HIGH SCHOOL, DUBAI

P. O BOX 106 Dubai United Arab Emirates


Email: indiansc@emirates.net.ae Website www.ihsdubai.org

Note:

Tel: Senior School 04 3377475 Fax 04 3358851


Tel: Junior School 04 2823555 Fax 04 2821817

PUPILS LEAVE APPLICATION FORM

Separate Form must be filled in for each pupil, enclosing the photocopies of evidence like telegram / medical certificate etc;
as the case may be.

Principal
The Indian High School
Dubai, United Arab Emirates
Sir / Madam
Sub: Leave for my son / daughter
Name: __________________________________________ Grade: __________________Div: ________ GR. No. _______
I shall be thankful to you if you grant my son / daughter named above, leave for _____ days from (date) ______________
to ______________ (date) the reason for leave being _______________________________________________________
___________________________________________________________________________________________________
I have paid his / her School Fees upto: __________________. Our postal address during the period of this leave will be:
(in India / elsewhere)

(in UAE)

_______________________________________

P.O.BOX : _______Emirate: _______________UAE

_______________________________________

Tel. No. (Res.): _____________________________

_______________________________________

(Off.)______________________________

Tel. No.:________________________________

Mobile No. : ______________________________


Email ID.:__________________________________

I understand that minimum 75% attendance is compulsory for promotion of my son /daughter and granting of leave does not mean
exemption from exams / tests, which are also compulsory. I do not expect any extra attention for my son/daughter after expiry of the
leave. He /She will join the school on the next day of the expiry of the leave. In case I fail to communicate to you my request for
extension of his / her leave within 7 days of the date for his / her joining the school, you may strike off his / her name, without any
reference to me.

Previous Leave availed (During current academic year) : _______________________ to _______________________


Yours faithfully,
_______________________________
Date:____________________
(PARENTS / GUARDIANS SIGNATURE)
Bus No. ______/Own Transport
-----------------------------------------------------------------------------------------------------------------------------------------------------------------FOR OFFICE USE
(To be sent to the Supervisor)
__________________________________________ of Grade _____________ has been granted leave / medical leave from
______________ to _______________. He / She may be allowed to attend the class on the expiry of the leave. Relevant
Medical Certificate has been retained in the office.
____________________________
Date:__________________
PRINCIPAL
-----------------------------------------------------------------------------------------------------------------------------------------------------------------(To be sent to Transport Department)
________________________________________of

Grade

________________

has

been

granted

leave

_______________ to _________________. Bus No: _______________/Own Transport.


Date:___________________

____________________________
PRINCIPAL

from

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