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Student Leave Application for Medical Checkup

The document is a student leave form submitted by Duggasani Ranjith Kumar Reddy requesting leave from IBS Hyderabad from August 10th to 14th 2017 to visit Pulvendula, Kadapa for a medical checkup. It provides his student ID number, name, room number, dates of departure and return, contact information for his parent or guardian, and acknowledges the attendance policy if his overall attendance falls below 75% for the semester.

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408 views2 pages

Student Leave Application for Medical Checkup

The document is a student leave form submitted by Duggasani Ranjith Kumar Reddy requesting leave from IBS Hyderabad from August 10th to 14th 2017 to visit Pulvendula, Kadapa for a medical checkup. It provides his student ID number, name, room number, dates of departure and return, contact information for his parent or guardian, and acknowledges the attendance policy if his overall attendance falls below 75% for the semester.

Uploaded by

ranjit
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Student Leave Form http://27.251.26.4/sz/SLFP.aspx?

LFID=48953

Student Leave Form

S# 48953
Enrolno 17BSPHH01C0373 Room No D517

Name DUGGASANI RANJITH KUMAR REDDY Mess 2

Out Date 10/08/2017 In Date 14/08/2017

Parent/Guradian Phone No 9550840234

place PULVENDULA , KADAPA MEDICAL CHECKUP

Student Signature

Student Leave Form

S# 48953
Enrolno 17BSPHH01C0373 Room No D517

Name DUGGASANI RANJITH KUMAR REDDY Mess 2

Out Date 10/08/2017 In Date 14/08/2017

Parent/Guradian Phone No 9550840234

place PULVENDULA , KADAPA MEDICAL CHECKUP

Student Signature

Student Leave Form

S# 48953 Student Copy

Enrolno 17BSPHH01C0373 Room No D517

Name DUGGASANI RANJITH KUMAR REDDY Mess 2

Out Date 10/08/2017 In Date 14/08/2017

Parent/Guradian Phone No 9550840234

place PULVENDULA , KADAPA MEDICAL CHECKUP

Return Date & Time Student Signature

1 of 2 10-Aug-17, 1:05 PM
Student Leave Form http://27.251.26.4/sz/SLFP.aspx?LFID=48953

Student Leave Form

Date : 10/08/2017

To The Director,

IBS Hyderabad.

Sir,

Sub: Leave Application

I request you to grant me leave from 10/08/2017to 14/08/2017 (No. of Days ____).

Place & Reason PULVENDULA , KADAPA MEDICAL CHECKUP

(If leave is on grounds of sickness, medical certificates must be enclosed from IBS Clinic). I am aware that my attendance as on today is ____% and that if my

attendance falls below 75% at the end of semester (including the leave of absence requested now),

a) I will not be permitted to appear for the End-Semester examinations,

b) I will not be eligible to progress to the next semester and

c) I need to repeat the semester in the next academic year and continue my MBA Program.

Thanking you,

Yours Sincerely

DUGGASANI RANJITH KUMAR REDDY

Enrolno : 17BSPHH01C0373

Name : DUGGASANI RANJITH KUMAR REDDY

Mobile : 8897725196

EMail : [EMAIL]

Room No : D517

2 of 2 10-Aug-17, 1:05 PM

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