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Department of Computer Science & Engineering, IIT Madras

Leave application for Dual Degree / M.Tech. Students


[Eligible leave per year: 15 days of vacation inclusive of holidays & weekends
and 8 days of Casual Leave]
Name

Roll No:

Category please tick

Leave requested

Reason / Purpose:

Signature of the Student

TA Duty Faculty in-charge

HTRA
From

SPONSORED
To

Total No. of days

Signature of the FA/Guide

Head
Department of Comp. Sci. & Engg.