BUKHARIYA EDUCATIONAL CENTRE

BOVIKKANAM, MUTALAPPARA, PO MULIYAR, KASARAGOD

STUDENT LEAVE APPLICATION & RECORD PORTAL

BUKHARIYA EDUCATIONAL CENTRE

BOVIKKANAM, MUTALAPPARA, PO MULIYAR, KASARAGOD

STUDENT LEAVE APPLICATION LEAVE RECORD FORM

Admission Number
Name of the Student
Name of the Parent / Guardian
Class & Section
Class Teacher’s Name
Department
Month
Reason for Leave
Date and Time of Leave
Date and Time of Return
Total Number of Leave Days Requested
Number of Leave Days Availed
Number of Leave Days Remaining
Remarks
Principal’s Approval Status
Date: ......................
Signature of Parent
Signature of Class Teacher
Signature of Principal
(School Seal)
* This is an officially generated academic record form from Bukhariya Educational Centre Portal.