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Student Leave Request Form

Mr/Ms SHREYA SATAM, parent/guardian of DEVANGI SATAM with SAP ID 74022121393, is requesting leave for their ward from date to date for the reason of FAMILY FRIEND. The approximate leave time would be from 10:30 PM to an unspecified out time. In the declaration, the parent acknowledges understanding the hostel rules and regulations as well as the minimum attendance percentage criteria for exams, and declares being solely responsible for their ward during the leave period.

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128 views2 pages

Student Leave Request Form

Mr/Ms SHREYA SATAM, parent/guardian of DEVANGI SATAM with SAP ID 74022121393, is requesting leave for their ward from date to date for the reason of FAMILY FRIEND. The approximate leave time would be from 10:30 PM to an unspecified out time. In the declaration, the parent acknowledges understanding the hostel rules and regulations as well as the minimum attendance percentage criteria for exams, and declares being solely responsible for their ward during the leave period.

Uploaded by

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

Leave Application Form

I am Mr/Ms SHREYA SATAM _ (Full Name of


Parents/Guardian) (relation) of
Mr/Ms
DEVANGI SATAM (Full Name of student) bearing SAP
ID 74022121393 requesting you to grant leaves to my ward for
FAMILY FRIEND (reason for leave) from / / 2023 to / /
2023 . The approx. in time would be 10:30 PM and approx. out time
would be .

Declaration

I declare that –

 I know the Rules & Regulations of Hostel and I agree to abide by them, failing which
my ward shall be liable to disciplinary action.
 I also know the minimum percentage criteria of attendance of my ward for giving the
exam, failing which my ward shall be liable to not give the exams.

I do hereby solemnly affirm and declare that I will be wholly & solely responsible for my ward
during his/her leaves.

(Authorised Signature)

Name of Parent / Guardian: SHREYA


SATAM
Date:
Place:
Contact Number:

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