Central University of Punjab
Leave Application for Students

Name :
Registration No :CUP/MPh-PhD/
School and Centre

:
Type of Leave (strike out whichever not applicable) : Regular/Outstation
Reason for leave

:
Period: From –To (dd/mm/yyyy) :
No. of leaves availed previously :
Address during the period of absence, with contact Nos/Email :

Date : December 10, 2013

Signature :

Forward through:

COC

Approved

Dean