LEAVE APPLICATION FORM

L. J. Institute of Engineering & Technology

Name: Ms. Uma Joshi Department: ME Position AP

Days: 0.5 From 21-Oct-19 to 21-Oct-19 SECOND HALF

Type of Leave CL Ex.L EL SL RH LWP Vacation DL

* Leave Balance before Application:
8.5 0 0 7 1 0 70 0
Leave Balance after Application:
8 0 0 7 1 0 70 0

* Fill the cell with red colour for the type of applied, Eg. If CL applied ,fill the cell in which CL is written with red colour

For Department Use Only (Alternate Load Arrangement)

Alternate arrangement of work load is made as below:
Date Subject Sem Time Staff member who will engage the work
Name Sign

NO LOAD
 For Department Use Only (Category of Leave)

No Load Load (Lec/Lab/ TL/Supervision/Paper assessment / Uni. duty )

Leave
Leave
form
form
Submit
submitted Leave form submitted
ted Leave form submitted after taking leave
after before taking leave
before
taking
taking
leave
leave
Category Load
of Leave Load adjusted adjuste Load adjusted
Load adjusted by HOD
by Faculty d by by Faculty
HOD
Did not informed to HOD
Informed by Informed to
call about HOD by call Not
(0) ( -0.5 ) (-1) (-1.5) Responded
leave bout leave Responded to
to HOD call
(-1.25) (- 1.75) HOD call
( -2 ) ( -2.5 )

0.5 CL 0

Date 21-Oct-19 ( Signature of Applicant) HOD Sign with Date

* Please verify your office record with department record. If different contact to HOD