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ACADF/LL-01 Pondicherry Engineering College, Puducherry: Leave Application - Students

This document is a leave application form for students at Pondicherry Engineering College. It collects information such as the student's name, department, program, and reason for leave. There are two types of leave that can be applied for: personal/medical leave and leave on duty. For both, the student must provide details of the leave duration and obtain signatures of approval from their faculty advisor, head of department, and principal if necessary. Completed forms are filed in the department's student attendance file and used to track on-duty leave details each semester.

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28 views

ACADF/LL-01 Pondicherry Engineering College, Puducherry: Leave Application - Students

This document is a leave application form for students at Pondicherry Engineering College. It collects information such as the student's name, department, program, and reason for leave. There are two types of leave that can be applied for: personal/medical leave and leave on duty. For both, the student must provide details of the leave duration and obtain signatures of approval from their faculty advisor, head of department, and principal if necessary. Completed forms are filed in the department's student attendance file and used to track on-duty leave details each semester.

Uploaded by

Abinaya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ACADF/LL-01

Pondicherry Engineering College, Puducherry


REF: PEC/ Date:

Leave Application - Students

Name of the Student Enrollment No


Department Programme (tick) B.Tech./M.Tech./M.C.A./M.Sc./M.Phill
Branch/Specialization Class/Section
A) Leave on Personnel / Medical Grounds *
Duration of Leave (Enter Date) From : Number of
To : Days
Reason for Leave

Number of days of leave already


availed

Date : Signature of the Parent / Guardian Date: Signature of the Student

Date : Signature of Faculty Advisor Date: Signature of HoD


* The student shall enclose necessary Medical Certificate for leave availed on medical grounds
B) Leave on Duty
Duration of Leave (Enter Date) From : Number of
To : Days
Reason for Leave

Number of days of on duty leave


already availed*

Recommended

Signature of Faculty
Date: In Charge of the Activity Date: Signature of the Student

Approved / Forwarded to Principal*

Date : Signature of Faculty Advisor Date: Signature of HoD

Approved

Date: Signature of the Principal


* If the number of on duty leave exceeds 7 days, necessary permission from Principal should be obtained

Note: The Leave Application Forms shall be filed in the Students Attendance File of the Department. At the end of each
semester, the Consolidated On Duty Leave Details shall be prepared in the format (ACADF/LL-02) and the same shall be
circulated to the faculty for the purpose of attendance benefit.

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