FACULTY OF ENGINEERING & TECHNOLOGY
PARUL INSTITUTE OF ENGINEERING & TECHNOLOGY
DEPARTMENT OF ARTIFICIAL INTELLIGENCE & MACHINE LEARNING
STUDENT LEAVE APPLICATION FORM
Date:___________
Name: _________________________________________________________________________________
En. No.: _______________________________ Mobile Number: _____________________________
Year:- [1st / 2nd / 3rd / 4th ] Semester:-___________________________________________
Division: _____________
Current Attendance (%): _______________
Leave Details
Leave Duration (From: ______________________ To:_______________________)
Number of Days: __________________________________
3. Reason for Leave: _____________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Note:-
1. Certified that I will maintain the attendance to grant the term.
2. Certified I am fully aware of implications of academic absence as per Parul
University guidelines.
Signature of the Student: ___________________________
FR Information
1. Name of the FR: ___________________________________
2. Mobile Number: ___________________________________
3. FR's Remarks: (Approved/Not Approved with reason)
__________________________________________________________________________________________
__________________________________________________________________________________________
FR's Signature: _________________________________
HoD's Signature: ________
