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DEPARTMENT OF ELECTRONICS ENGINEERING

ISM DHANBAD-826004

Application for Leave of JRF

Sl.No. Items Particulars

1.

Name of JRF


2.

Admission No.


3.

Period and number of days leave applied
for


4.

Ground on which leave is applied for







5.

Number of leaves availed till date in the
current session

6. Signature given to FIC of Labs allotted to
JRF (if lab classes are being missed)



7.

Signature of applicant




Remarks and/or recommendation of Guide


Signature of Guide with date




Signature of FIC, JRF




Signature of HOD

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