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Sakthi Mariamman Engineering College: Student's Leave Form

This document is a student leave form from Sakthi Mariamman Engineering College. It collects information such as the student's name, register number, semester/branch/section, year/batch, number of days of leave taken in the current semester, dates and reason for requested leave, contact information for parents, and space for the class mentor and HOD to validate any leave taken. The back of the form provides space for the student to list their subject codes and names.

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mguru946
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29 views

Sakthi Mariamman Engineering College: Student's Leave Form

This document is a student leave form from Sakthi Mariamman Engineering College. It collects information such as the student's name, register number, semester/branch/section, year/batch, number of days of leave taken in the current semester, dates and reason for requested leave, contact information for parents, and space for the class mentor and HOD to validate any leave taken. The back of the form provides space for the student to list their subject codes and names.

Uploaded by

mguru946
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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W.e.f: 07.07.

2014
Students Leave form


*Subject code and Subject name will be furnished in the backside of this form by the student.
# To be filled by class mentor
1



SAKTHI MARIAMMAN ENGINEERING COLLEGE
Narayanasamy Nagar, 55, Thandalam, Chennai 602 105
ISO 9001-2008 Certified & NBA Accredited
www.smecollege.edu

Students Leave Form Date:

1. Name of the Student: Mobile No:
2. Register No:
3. Semester/ Branch/Section:
4. Year: Batch:
5. No of days leave taken in this Semester:
6. Day(s) & Date(s) of leave required:
7. Reason for leave:
8. *Total No of Arrear(s): *No. of Arrear(s) in this semester:
9. i)Fathers Signature: i) Mothers Signature:
ii)Fathers Phone No: ii)Mothers Phone No:


10. Present Residence Address with Landline No:


Leave taken in this semester
#
Leave Date Reason for leave Validation by Mentor







Signature of the Mentor HOD

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