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Hostel Leave

This hostel leave form from the Indian Institute of Technology Guwahati collects information about a student requesting hostel leave including their name, home and contact addresses, purpose of leave, supervisor's name if applicable, duration of leave with dates, mess bill payment, and requires signatures from the mess manager and hostel staff. The form is used to document and approve a student's request to be away from their hostel during their studies.

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Karthigeyan RameshKumar
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67 views1 page

Hostel Leave

This hostel leave form from the Indian Institute of Technology Guwahati collects information about a student requesting hostel leave including their name, home and contact addresses, purpose of leave, supervisor's name if applicable, duration of leave with dates, mess bill payment, and requires signatures from the mess manager and hostel staff. The form is used to document and approve a student's request to be away from their hostel during their studies.

Uploaded by

Karthigeyan RameshKumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Indian Institute of Technology Guwahati

Guwahati - 781 039


Form No.18
HOSTEL LEAVE FORM

1 Name of student/Project Staff 2 Home Address (Phone no. /e-mail ID) 3 Contact addresses during Leave period (For in case of emergency) Purpose of hostel Leave (Please specify) 4 PS/M.Tech./ Ph.D Students if you vacate the room on account of completion/other reasons. Attach a copy medical document if any / leave approved from Dept. concerned. 5 Name: Principle project investigator (Incase of project) 6 Project Code (Incase of project) 7 Name of Supervisor/Guide in case of M. Tech/Ph. D student 8 Duration of Leave from Date: To Date: Leave Time: In Time: 9 Latest mess bill paid for Amount the month Academic Programme Dept: Roll No.: Semester: Room No.: For official use Information received

Ph. No

My contract up to

Total days of Leave Date of pay

Date: Signature of the applicant Name of hostel:

Signature of Mess Manager

Warden/Associate Warden/Sr. Asstt./Jr. Asstt/Jr. Supt. of hostel

1. Copy to: Assistant Registrar, Students Affairs

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