Leave Application Form
Name: Faiza Emp Code # 0052-24
Jamil
Designation: Date: 28th
Assistant October
Professor 2019
Department: Total Days:
Mathematics 1
Period of leave: From 28th Oct To_28th Oct Date of return to work:__ 4th Nov
2019_______ 2019________ 2019
(first date of leave) (Last date of leave)
Reason: High
fever and sore
throat
Substitute Nominee: ________________ (to be filled by Department head)
Type of leave: Annual Casual Sick √ Others _________
Phone # during leave: 03464548812
Address during leave: 634 D canal view housing society_____________
Email Address
[email protected](For Faculty Use Only)
Alternative arrangements for the work load have been made as follows:
Class Time/Period Room No. Name of Substitute Teacher
Math 100 Sec A 9:00-9:50 S-417 Imrana shafique
Math 100 Sec D 11:00-11:50 S-416
Makeup will be arranged later
Leave Application Form
Sanctioned/ Non Sanctioned ________________________________
(Head of Department)