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IILM INSTITUTE FOR HIGHER LEARNING

LEAVE FORM

Name
PGP Roll No
Section
Trimester
Date &Duration of
Leave
Reason of Leave

Subjects No. of Session Missed


SCM
SP&S
IFS
TM&EE
MIS
ITS
ES
ICEVBM

Signature of Signature of Mentor


Student
Mentor Name:

Date:

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