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Special Request Form: To, Date: . / / . CSO

The document is a special request form submitted by a student to the CSO requesting leave from their hostel. It includes information such as the student's name, registration number, reason for request, recommendations from their HOD and warden, and space for approval or remarks from the CSO and Pro Chancellor. The form is used to formally request and document any type of leave taken from the hostel.

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Katon KUN
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© Attribution Non-Commercial (BY-NC)
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33 views1 page

Special Request Form: To, Date: . / / . CSO

The document is a special request form submitted by a student to the CSO requesting leave from their hostel. It includes information such as the student's name, registration number, reason for request, recommendations from their HOD and warden, and space for approval or remarks from the CSO and Pro Chancellor. The form is used to formally request and document any type of leave taken from the hostel.

Uploaded by

Katon KUN
Copyright
© Attribution Non-Commercial (BY-NC)
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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SPECIAL REQUEST FORM

To,
CSO

Date: . //.

.........

SUBJECT:-....................................................................................................................................................................
Reasons in brief :-(Please mention

relevant reasons)

.........................

Note: Any type of leave requested/sanctioned in this request form pertains to leave from HOSTEL ONLY
and has NO CONCERN WITH ACADEMIC LEAVE. Student is responsible for shortage of his/her academic
attendance.

(Signature of the Student)


Name of the Student: ...........

Reg. No. / ID: ..........

Address:....................................................

Programme/Dept: ..........Sem..............

Hostel: Block.Room No. ......................

Contact No: ...................

Recommendation / Remarks ( Where Applicable) :Parents Consent:


(Consents in writing below or by fax)

HODs Recommendations:

Wardens Remarks:

(In case of Out of campus events)

Signature (HOD)

Signature (WARDEN)

______________________________________________________________________________________________________________

Remarks :
ODRS:
....................................................................

Recommendation /Approval
CSO

Approved / Not Approved

.....................................................

.............................................

Pro Chancellor

.....................................................................
.................................................................

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