Day Leaving campus on Arriving on campus

Date

Time

Indian Institute of Management Indore

PGP LEAVE APPLICATION FORM 1. 2. Date: . Name: PGP 1 / 2 Section: .. Roll No. . Day(s) and Dates of intended leave: From Day & Date 3. Reason for leave: .. 4. List of all courses with session numbers that you would miss during this period:
(Please attached additional sheet, if required)

To

No. of days

S.No

Date

Name of course

Session No(s).

Session time

5.

Address while on leave: Mobile No. STD Code & Contact No... Approved / Not Approved

. Signature of Participant

.. PGP Office

. Signature of the Chair - PGP

NOTE: The Participant should inform the PGP Office / Hostel Warden / Programs Officer (H&SA) the moment he/she returns. Encls: 1. 2.

I understand that I am not permitted to take leave during the last two sessions of a course. In case two instructors teach a course, I would not be permitted to take leave during the last session taught by each of the instructors. This is irrespective of the course credits. Taking leave during the last two sessions, when a course is taught by one instructor and the last sessions when two instructors teach the course would result in the leave being treated as unauthorised leave resulting in a grade cut.