Leave Request Form – Teaching

    NAME :
    DATE :
    DEPARTMENT :
    DESIGNATION :
    Leave Applied : From To
    Total number of days :
    Tick the type of leave applied for : - Casual LeaveShort LeaveComp. Off/ LWP LeaveAcademic LeaveLWP
    Reason for Leave:

    Duties to be performed in absence by :
    (I hereby undertake that I’ll not be on leave during the above mentioned period and will be acting on his/her behalf for the major duties and responsibilities.)
    Address when on leave : Phone :


    For Compensatory Leave:

    Compensatory leave applied for Day : Date :
    Compensatory leave availed against :
    holiday, Dated
    Reason for working on a holiday :
    Place of work :
    Duration of work :
    Recommended by Dept. Head :


    UNDERTAKING OF KEY RESPONSIBILITIES

    NAME :
    DATE :
    DEPARTMENT :
    DESIGNATION :
    Leave Applied : From To
    Total number of days :
    Duties to be performed in absence by :

    I, undertake the following responsibilities on behalf of

    1. I have shared my official email details (username & password) with the designated person, so that the business activities are not affected.

    Lecture/ Responsibility Details Lecture/ Responsibilities Taken by Timings
    From To

    2. I hereby undertake that I’ll not be on leave during the above mentioned period and will be acting on his/her behalf for the major duties and responsibilities.

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