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Eca Form

This document is a leave application form for Lady Shri Ram College for Women in New Delhi. It collects information about the student such as name, roll number, course, number of days leave is required, and reason for leave. It also tracks the number of lectures held and attended, and requires signatures from the student, their tutor, and their father or guardian.

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Tanya Khandelwal
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86 views1 page

Eca Form

This document is a leave application form for Lady Shri Ram College for Women in New Delhi. It collects information about the student such as name, roll number, course, number of days leave is required, and reason for leave. It also tracks the number of lectures held and attended, and requires signatures from the student, their tutor, and their father or guardian.

Uploaded by

Tanya Khandelwal
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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LADY SHRI RAM COLLEGE FOR WOMEN LADY SHRI RAM COLLEGE FOR WOMEN

(UNIVERISTY OF DELHI) (UNIVERISTY OF DELHI)


LAJPAT NAGAR-IV, NEW DELHI – 110 024 LAJPAT NAGAR-IV, NEW DELHI – 110 024

ECA/MEDICAL/NCC/NSO/NSS FORM ECA/MEDICAL/NCC/NSO/NSS FORM

Name of the Student _________________________ Roll No. ____________ Name of the Student _________________________ Roll No. ____________

Course ______________________________ Section __________________ Course ______________________________ Section __________________

No. of days for which leave required ________________________________ No. of days for which leave required ________________________________

Date: From _______________________ To __________________________ Date: From _______________________ To __________________________

Reason for Leave ________________________________________________ Reason for Leave ________________________________________________

Sl. Name of the Tutor No. of Tutor’s Signature Sl. Name of the Tutor No. of Tutor’s Signature
No. Lectures held No. Lectures held
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
Total No. of Lecture Held Total No. of Lecture Held

Countersigned Countersigned

Student’s Signature Student’s Signature

Father/Guardian Mob.: ________________________ Father/Guardian Mob.: ________________________

Address _______________________ Address _______________________

______________________________ ______________________________

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