12/2/13 FFCS - Students Leave Form

Office of the Chief Warden

HOSTEL STUDENT'S LEAVE FORM

Sl. No: 2013062205 Approved Date: 02/12/2013 09:58:53
Reg. No : 11BEC0220

Name : R ADITYA VIKAS

Block & Room No : MHL-336

Leave Id: 62205

No of days : 35

From Date : 02/12/2013 20:46:00

To Date : 05/01/2014 20:46:00

Phone / Cell : 040-23835041 / 09849452478

Leave Type : SEMESTER LEAVE

Place of Leave & Address : VILLA NO.70,MAYTAS HILL COUNTY,NIZAMPET,HYDERABAD.

Purpose of Leave : SEM LEAVE

Approved By : PREETHA K.S (11582) - Proctor-SENSE

Student Signature

Parent Signature



Note : To submit a copy of the signed form to the Mess for Mess Reduction, if leave is availed for a Minimum of 7 days.



Office of the Chief Warden
HOSTEL STUDENT'S LEAVE FORM

Sl. No: 2013062205 Approved Date: 02/12/2013 09:58:53


Reg. No : 11BEC0220
Name : R ADITYA VIKAS
Block & Room No : MHL-336
Leave Id: 62205


No of days : 35

From Date : 02/12/2013 20:46:00
To Date : 05/01/2014 20:46:00
Phone / Cell : 040-23835041 / 09849452478

Leave Type : SEMESTER LEAVE

Place of Leave & Address : VILLA NO.70,MAYTAS HILL
COUNTY,NIZAMPET,HYDERABAD. Purpose of Leave : SEM LEAVE
https://academics.vit.ac.in/student/leave_print.asp?slno=62205 1/2
12/2/13 FFCS - Students Leave Form


Approved By : PREETHA K.S (11582) - Proctor-SENSE


Student Signature

Parent Signature


Note : To submit a copy of the signed form to the Mess for Mess Reduction, if leave is availed for a Minimum of 7 days.




































































https://academics.vit.ac.in/student/leave_print.asp?slno=62205 2/2