NSS POLYTECHNIC COLLEGE
Leave Letter 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 Leave:
*
Select reason
Bad Weather Conditions
Personal Issues or Emergencies
Medical or Health Issues
Family or Home Responsibilities
Work or Job Commitments
Sports or Extracurricular Activities
Other
Date of Leave taken:
*
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