DCSMAT/CO/ADM/FO15

DCSMAT School of Media & Business, Trivandrum, 695 585 Kerala

Application for Leave and / or Permission to Leave Station
No Item Response

1 Name Aravind.T.S

2 Designation Assistant Professor

3 Type of Leave (Including Duty Leave, On Casual Leave

Duty, etc.)

4 Period of Leave _______half______day

5 Period of Absence from Station Afternoon of 13th-Dec-2017

6 Specific Reason/s for Leave / Absence1 Personal Hospital emergency

7 Critical Duties to be Attended to while Out

of Station

8 Name and Designation of the Official in Prof. Anoob J S

Charge during your Absence2

9 Signature of the Official in Charge during

your Absence

10 Address while Out of Station

11 Phone / Mobile Numbers while Out of

Station 949754984

12 Email Id while Out of Station

13 Signature of Applicant with date

14 Recommended or Not3 with Remarks

15 Signature of the Reporting Officer

16 Whether Eligible for the Type of Leave or

Not4 with Remarks if any

17 Signature of the Official Processing the

Application

1 Avoid Private, Personal, etc. unless it is confidential or discuss with your Reporting Officer.
2 Please make sure the Official is present during your absence.
3 By the Reporting Officer
4 To be filled by the Administration Section