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Hostel Student'S Leave Form: Office of The Chief Warden

The document is a leave form for a hostel student with registration number 13BEC0519 from Ramanujam Block room 691. The student is requesting emergency leave from August 2 to August 4, 2015 - a period of 3 days. The student will be leaving the hostel to travel to IIIT Kottayam, Kerala with their brother. The form was approved by the Assistant Professor Suresh R.
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0% found this document useful (0 votes)
38 views1 page

Hostel Student'S Leave Form: Office of The Chief Warden

The document is a leave form for a hostel student with registration number 13BEC0519 from Ramanujam Block room 691. The student is requesting emergency leave from August 2 to August 4, 2015 - a period of 3 days. The student will be leaving the hostel to travel to IIIT Kottayam, Kerala with their brother. The form was approved by the Assistant Professor Suresh R.
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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Office of the Chief Warden

HOSTEL STUDENT'S LEAVE FORM


Leave Form Sl.No:

15010517

Reg No

13BEC0519

Block

F BLOCK [RAMANUJAM BLOCK]

Room No

691

Leave Type

EMERGENCY LEAVE

Exit Date

02-AUG-2015

Entry Date

04-AUG-2015

No. of Days

permanent Address

4-30, MAIN ROAD, TYAJAMPUDI,


DEVAR PALLI MANDAL,
RAJMUNDRY,
ANDHRA PRADESH - 534305

Place to Leave

IIIT KOTTAYAM,KOTTAYAM,KERALA

Reason

I AM GOING WITH MY BROTHER TO IIIT KOTTAYAM

Approved By

SURESH R - Assistant Professor (Sr.) - SENSE

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