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Proforma for Leave for PhD Research Scholars (Full Time)

Name of RS:____________________________________ Roll No._____________________ Department______________________________

Type of Leave Casual Leave Medical Leave RH Leave On Duty Leave Long Duty Maternity Leave Signature
Leave

Period

Total No. of Days


(Signature of RS)
Total Availed

Balance
(Verified by Office Incharge/ Clerk)
Remarks if any

Purpose of Leave : ______________________________________________________________________________________________________

Address during Leave : ______________________________________________________________________________________________________

(Signature of the Supervisor)

(Signature of the HOD)

Note: For more than 05 leaves, the application to be forwarded to Dean (Academic)

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