Medi‐Caps University Indore
Form‐I
Date: __________________
I _______________________________________________Enrol. No. ___________________
could not attend my classes due to following cause/s:
Sl. No. Cause From------ To--------
Hence, there is shortage of attendance in the following course/s.
Sl. No. Course Code Name of the Course % of Attendance
Kindly permit me to appear in the MST-I/ MST II.
Signature of the Student Parent Name: ____________________
Mobile No: Mobile No.______________________
Verified by Forwarded by
Class Co-ordinator HOD, Dept._______________
Note: The cause/s must be verified by the HOD
Permitted/Forwarded by Permitted/Not Permitted
Dean
Faculty of____________ Vice-Chancellor