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Leave Application - Research Scholars

This document is an application form for leave for institute scholars at the Indian Institute of Petroleum & Energy, Visakhapatnam. It outlines the necessary information required from the applicant, including personal details, type of leave, duration, and purpose. Additionally, it specifies the leave entitlements and conditions regarding casual and medical leave for research scholars.

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Bogeshwaran Karunanithi
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92 views1 page

Leave Application - Research Scholars

This document is an application form for leave for institute scholars at the Indian Institute of Petroleum & Energy, Visakhapatnam. It outlines the necessary information required from the applicant, including personal details, type of leave, duration, and purpose. Additionally, it specifies the leave entitlements and conditions regarding casual and medical leave for research scholars.

Uploaded by

Bogeshwaran Karunanithi
Copyright
© © All Rights Reserved
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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INDIAN INSTITUTE OF PETROLEUM & ENERGY

VISAKHAPATNAM

APPLICATION FORM FOR GRANT OF LEAVE (INSTITUTE SCHOLARS)

To be filled by the applicant


1 Name: 2 Roll No.:
3 Supervisor: 4 Dept:
5. Type of Leave Casual Leave Medical Leave Duty Leave

6. Total No. of Days From To
working days
during the leave
_____________ FN/AN ___________ FN/AN
period
7. Leave Availed
till date __________ Casual Leave __________ Medical Leave
8. Purpose

9. Address during
Leave
10. Undertaking I undertake to abide by the rules & regulations applicable in this regard

Signature of the Research Scholar


11. Recommendation Recommended/ Not Recommended for ________ days (working days)
of Supervisor for CL/ Medical Leave/ Duty Leave.

Date: Signature of the Supervisor


To be filled by the Head of Dept
Leave Availed till date Casual Leave Med. Duty
Leave Leave
Sanctioned / Not sanctioned ______ days (working days) of CL/ Medical/ Duty leave.

Date: Signature of the Head of Dept.


Application Form is to be retained with HoD after sanction
Joining Report
(To be filled on the date of joining)
Date of Joining Actual No. of days
of leave availed
Signature of Signature of HoD
Research Scholar
* A Research Scholar shall be entitled to (i) Casual Leave of 15 days and (ii) Medical Leave
of 15 days in a year counting from the date of joining the program. Application for Medical
Leave should be supported by relevant documents. Any absence over and above the admissible
leave as prescribed above shall be without assistantship, which shall be deducted on a pro-rata
basis for the days of such absence.

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