Bukhariya Educational Centre
Bovikkanam, PO Muliyar, Kasaragod
STUDENT LEAVE APPLICATION FORM
Admission No.
*
Name of the Student
*
Name of the Parent / Guardian
*
Class & Section
*
Class Teacher’s Name
*
Department
*
Select Department
Dawa
Hifz
General
Month
*
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Total Number of Leave Days
*
Date and Time of Leave
*
Date and Time of Return
*
Reason for Leave
*
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