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Leave Application Form

1. The document is a leave application form for students of the Indian Institute of Management, Ahmedabad's two-year postgraduate program in management. 2. It requests the student's personal information like name, year of study, dorm number, and contact details. 3. The student must provide details of the leave requested like dates, number of days, reason for leave, and list any courses and classes that will be missed along with the total number of sessions and classes for each course. 4. For medical leave, a certificate from the institute doctor is required stating the ailment and number of days of complete rest advised.

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LewisGauss
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24 views1 page

Leave Application Form

1. The document is a leave application form for students of the Indian Institute of Management, Ahmedabad's two-year postgraduate program in management. 2. It requests the student's personal information like name, year of study, dorm number, and contact details. 3. The student must provide details of the leave requested like dates, number of days, reason for leave, and list any courses and classes that will be missed along with the total number of sessions and classes for each course. 4. For medical leave, a certificate from the institute doctor is required stating the ailment and number of days of complete rest advised.

Uploaded by

LewisGauss
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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INDIAN INSTITUTE OF MANAGEMENT, AHMEDABAD

TWO YEAR POST GRADUATE PROGRAMME IN MANAGEMENT


APPLICATION FOR LEAVE
1.

Name

2.

Year

3.

Dorm No

4.

a. Leave requested from


b. No. of Days

5.

Roll No :
I / II

MobileNo :
___________________to _________________

Reason for Leave


(If medical, kindly get Endorsement
From the Institute Doctor in the
Prescribed from

6. Course details

List all the courses of


classes missed

Section :

Total no. of
sessions in
the course

Date(s) of
classes missed

Class(es)
missed
earlier

No of
classes
missed / to
be missed
this time

Total no. of
classes
missed

7. Travel Schedule :

Date :

Student
(Signature)

Chairperson-PGP/PGP Office
(Signature)

(This Leave application is to be submitted to PGP office within 03 days of taking leave, applications submitted
thereafter will not be accepted.)

PROFORMA FOR MEDICAL LEAVE


I have examined Mr./Ms. _________________________________________________ a PGP I/II
student and found that he / she is suffering from _____________________. He/She has been
advised complete rest _____ day/s with effect from _____________.

Signature of the Institute Doctor

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