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Leaveformformat

The document is a hostel leave form for Praveen Kumar, a student with roll number ME23B1024. It provides details of his leave, including the dates of exit from and return to the hostel, his destination address, contact information for his parents, and a message to be sent by his parent acknowledging safe arrival at the destination and accepting responsibility for his well-being during the leave. It also lists the hostel name and room number, and a contact number for the hostel office.

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mkarunbharath
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29 views1 page

Leaveformformat

The document is a hostel leave form for Praveen Kumar, a student with roll number ME23B1024. It provides details of his leave, including the dates of exit from and return to the hostel, his destination address, contact information for his parents, and a message to be sent by his parent acknowledging safe arrival at the destination and accepting responsibility for his well-being during the leave. It also lists the hostel name and room number, and a contact number for the hostel office.

Uploaded by

mkarunbharath
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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INSTITU

TE HOSTEL LEAVE FORM

Name of the Hostel Inmate:Praveen Kumar.

Rollno:ME23B1024

Inmates Phone No:074491 98916

Hostel Name :Jasmine Annex

Room No:1227

Reason for Leave:

Date of Journey (exit from hostels):26/08/2023

Return Date:27/08/2023

Destination (complete address):No.118, The Wind Poomalai , Rathinasamy street , B.T.Nagar ,


Kolapakkam , Chennai - 600122

Parents / Guardians Mobile No:9444939107

Father:M R Manivasakam

Mother:K. Arthi

Guardians No:

Inmate’s Signature:

Approval of Wardens:

In the event of unplanned stays (Rules 4 to 6) text of Message to be acknowledged by


parent / guardian:

I M R Manivasakam Parent / Guardian of M Karun Bharath hereby acknowledge that my ward has
reached my place safely and we take responsibility of his / her well being.

For parents not comfortable with English, they may text the equivalent of above in their native
language. HO phone number: 8778400261

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