You are on page 1of 1

SHARDA SCHOOL OF ENGINEERING & TECHNOLOGY

APPLICATION FOR LEAVE


(MEDICAL/WORKSHOP/SEMINAR/SPORTS/NCC/NSS/CULTURAL)

Date:___________

Name of the Student: __________________________________s/o, d/o _______________________________

System ID: ____________________Roll No: _________________ Department: __________________________

Programme: ________________Plan ______________________________________ Year / Semester:________

Comment / Reason / Issue (if any):

Medical Certificate for the period from ___________________to ___________________, Total Days: _______

Mention the Event (if other than Medical Reason: _________________________________________________

_________________
Signature of Student Mobile No: _______________ Email: ________________________

________________________________________________
Recommendation of the Official forwarding the application

________________________ ___________________________ _______________________


Recommendation of Mentor Recommendation of Coordinator Recommendation of HOD /
Mentor Name- Coordinator Name- 1st Year Coordinator

________________________ _______________________
Signature of Dy. Registrar SSET Approval of Dean SSET

(Student is required to attach supporting documents in original)

You might also like