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![Page 1: SRI VAGISVARI VIDYA MANDIR€¦ · sri vagisvari vidya mandir 2/59, pilchinnampalayam (manal medu) valparai road, samathur pollachi - 642 123. phone : 271614 application for leave](https://reader030.vdocuments.us/reader030/viewer/2022040107/5eba23aef6c7404309103e7b/html5/thumbnails/1.jpg)
SRI VAGISVARI VIDYA MANDIR2/59, PILCHINNAMPALAYAM (MANAL MEDU) VALPARAI ROAD,
SAMATHUR POLLACHI - 642 123. Phone: 271614
APPLICATION FOR LEAVEAPPLICATION FOR LEAVEAPPLICATION FOR LEAVE
Student ID Number
Name of the Student
Class
Reason for Leave
Date
:
:
:
:
:
___________________________
________________________________________________
____________ Section :____________________________
________________________________________________
From ___________________ to _____________________
[DD / MM / YYYY ] [DD / MM / YYYY ]
Any UNIT TEST / MID TERM is being missed : YES / No.
Signature of the Parent
OFFICE USE
Remarks by Principal / Vice Principal