NSS POLYTECHNIC COLLEGE
Duty Leave Form
Mandatory fields are marked with an asterisk (
*
)
Name:
*
Roll number:
*
Reg number:
*
Department:
*
Select Department
Computer Engineering
Civil Engineering
Mechanical Engineering
Electrical & Electronics Engineering
Electronics & Communication Engineering
Semester:
*
Select Semester
First
Second
Third
Fourth
Fifth
Sixth
Date:
Reason for duty leave form:
*
Select reason
Volunteering for community service
Sports
Arts program
Civic/Military exam
NCC
NSS
Event participation
Other
Date of Leave:
*
Go Back