NATIONAL LAW UNIVERSITY AND JUDICIAL ACADEMY, ASSAM LEAVE GRANT FORMAT ‘Name of the Student uID Semester, Year, Cont, No, & E-mail Id Type of Leave : [ Academic Leave (puta tick on the From: To: appropriate option) C) Medical Leave C Other, specify Reason for Leave Application Total number of Leave applied for (excluding holiday, if any): 1 ificate 2. tion / Permission for Participation Letter 3. Certificate of Participation in Moot Court Competition / Seminar / Workshop Conference ete. 4. Others Signature of Student Forwarded by Concerned Authority *** FOR OFFICE USE Record a8 OM. ......soyeeeeeeeenene(Date): ‘Academic Leave "Medical Leave - Others ‘Leave Availed [Leave Balance | Leave Availed | Leave Balance |Leave Availed [Leave Balance Leave Granted [] / NotGranted [] Leave Granted from to For a period of day(s). Dy. Registrar (Academic) & Examination (/C) * A student shell be eligible for attendance benefit on Medical grounds if helshe has fulfilled the minimum attendance requirement of 65% in individual courses and an aggregate of 70% aliendance in the entre semester ** The approved Academic Leave benefit up to a maximum of 12 working days may be given to those students who already have te requed percentage of aendane (75) nthe concerned Pape. ) **4 Chief Co-ordinator (Academics) Pacully Adviser // Medical Officer of NLUJA, Assam.