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ELUMALAI POLYTECHNIC COLLEGE VILLUPURAM DEPARTMENT OF EEE - STUDENTS LEAVE FORM Name: Year: Date of leave: Reason: Section:

ELUMALAI POLYTECHNIC COLLEGE VILLUPURAM DEPARTMENT OF EEE - STUDENTS OUT PASS Name: Year: Date: Reason: Section:

Students signature

Parents signature

Students signature

Class in charge

Head of the department

Class in charge

Head of the department