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Term Off Application Form

Term off Application form

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tarisai
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22 views2 pages

Term Off Application Form

Term off Application form

Uploaded by

tarisai
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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(To filled by official) Application no.

___________ Date of
Application__________________

Lovely Professional University


Division of Examination Academic Administration Cell Email:
[email protected]
Contact No. 01824-44379

Application Form for Term Off/Year Off

MAKAITA N MUCHASVIKA
Registration No: ________________________Student Name:________________________________________

Program Name: __________________________ Phone/Mobile No: ____________________________________

Email Id:________________________________________ Parent’s Contact Number:_________________________

Specify Term for which you are applying: (e.g. (Aug-Dec 2022)):___________________________________________

Have you attended a single class in term for which term off is applied (Yes/No): __________If Yes,
Attendance% (eg.(25%)):____________

Have you paid the fee for the same Term (Yes/No): _______________________________________________________

Are you availing Hostel facility (Yes/No):_______________________________________________________________

If availed, then Mark Tick (√): Hostel Fee Mess/Food Fee Laundry Fee

Reason for Term Off: (Also attach relevant documents):

__________________________________________________________________________________________________

__________________________________________________________________________________________________
Undertaking
I ___________________________________ S/o, D/o __________________________________________is applying for Term Off
for the Session _______________________. I am aware of the terms & conditions as decided by the University.
a. I have follow the discontinuation norms of hostel facility/Mess/Food (if availed).
b. I have to register the skipped courses (courses prescribed in the term for which term off is applied)
as backlog courses in the successive term(s) as and when offered by the University.
c. I am fully aware that my degree stipulated time period can be exceeding from normal program
duration & have to attend the backlog courses as prescribed by University Norms.
d. I will pay the fee as prescribed for these backlog courses.
e. In case I am not able to register for the skipped courses during the normal duration of the
programme, then I may have to register for additional term(s).
f. I will be required to pay a term-off fee as decided by the University rules.
g. Number of term(s) for which I am on Term-Off (or was absent) will be considered for the calculation of
Maximum duration for the completion of Programme.
h. The information stated in the application form is correct to the best of my knowledge & my parent’s
fully aware about the same.
Sig. of Student: _________________________ Date: _______________________

Sig. of Parents/Guardian: _________________ Place: ______________________

(For Office Use Only)


I have personally called the parents on the mobile number ________________________and have informed them
(To filled by official) Application no.___________ Date of
Application__________________

about
the intent of the student.
(Signature of the official with
date)

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