INDIAN INSTITUTE OF TECHNOLOGY,BOMBAY

CASUAL LEAVE ROSTER


Dept./Section No.

Name Designation Year

N0.     Date of Leave Signature Sign. of I/C Signature of Head
of the Department
1. Full Day 1/2 Day
1/2 Day
2. Full Day 1/2 Day
1/2 Day
3. Full Day 1/2 Day
1/2 Day
4. Full Day 1/2 Day
1/2 Day
5. Full Day 1/2 Day
1/2 Day
6. Full Day 1/2 Day
1/2 Day
7. Full Day 1/2 Day
1/2 Day
8. Full Day 1/2 Day
1/2 Day