You are on page 1of 1

LEAVE APPLICATION FORM

(For Student)
Date..
1. Name of Student

: ...

2. Name of Course

: ...

3. Roll No.

:....

4. Leave

: From ....To.

5. No. of Days

: ...

6. Address during leave

:...

7. Contact No.

:....

Approved By:

(Signature with name & date)

(signature of Student)

You might also like