Medi-Caps University Indore

Form-I
Date: __________________

I _______________________________________________Enrol. No. ___________________

could not attend my classes due to following cause/s:
Sl. No. Cause From------ To--------

Hence, there is shortage of attendance in the following course/s.

Sl. No. Course Code Name of the Course % of Attendance

Kindly permit me to appear in the MST-I/ MST II.

Signature of the Student Parent Name: ____________________

Mobile No: Mobile No.______________________

Verified by Forwarded by

Class Co-ordinator HOD, Dept._______________

Note: The cause/s must be verified by the HOD

Permitted/Forwarded by Permitted/Not Permitted

Dean
Faculty of____________ Vice-Chancellor