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Application to seek exemption from Detainee Status

Date of Application : Reference No. (for office use only) :


UID : Name of Student :
Department : Semester :
To seek exemption in :
MST (Theory/Practical) End Semester Final Exams (Theory/Practical)
Subject attendance till date (in which exemption is sought) :
(Attach verified attendance print out from CUIMS web portal)
%age attendance till
Sr. No. Course Name Course Code Teacher Verification
date
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Reason for shortage of attendance (Attach all supporting documents) :
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Verification and Recommendation remarks by HOD :
______________________________________________________________________________________________
______________________________________________________________________________________________
___________________________________________________________________________ (Signature with Stamp)
Recommendation remarks by Director/Dean/Principal :
______________________________________________________________________________________________
______________________________________________________________________________________________
___________________________________________________________________________ (Signature with Stamp)
Final Recommendation remarks by Executive Director :
______________________________________________________________________________________________
______________________________________________________________________________________________
___________________________________________________________________________ (Signature with Stamp)

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