Rajgad Dnyanpeeth’s
SHRI CHHATRAPATI SHIVAJIRAJE COLLEGE OF ENGINEERING
S. No. 237, Satara-Pune, NH-4, Dhangawadi, Tal: Bhor, Dist: Pune
DEPARTMENT OF ENGINEERING
STUDENT'S LEAVE APPLICATION FORM
To, Date:
The Teacher Guardian,
Div....... Batch.....
Respected Sir/Madam
I require the ....... day(s) Leave for the following reason. Please sanction the leave.
Name of the Student:......................................................................................................
Division:........................... Roll No.:..........................................
Date(s) on which leave(s) required:........................... Total day(s):..........................
Reason for leave:.........................................................................................................
Contact no. when at leave:..............................................
Thanking You. Yours Obediently
...............................
( Sign of the student)
Leave sanctioned/not sanctioned
.....................................................
(Name & Signature of Teacher Guardian)
.............................................................. cut on this line...........................................................
(Student's Copy)
PERMISSION LETTER FOR LEAVE FROM TEACHER GUARDIAN
To,
The Concerned Teachers,
The following student has taken my permission for ............ days leave(s).
Name of the Student:......................................................................................................
Division:........................... Roll No.:.............................Date(s) on which leave(s)
sanctioned:...........................
Reason for leave:.............................................................................................................
.....................................................
Date: (Name & Signature of Teacher Guardian)
Note: student should keep this part with them and produce whenever asked by the teachers.