VSS UNIVERSITY OF TECHNOLOGY, ODISHA, BURLA
No.VSSUT/ACD/1614 Dated: 05.12.2016
NOTICE
The students of 1
stsemester (B.Tech/B.Arch/M.Tech/M.Sc./5Yrs Int. M.Sc./MCA/Ph.D/M.Phil) are required to apply for condonation of shortage of attendance as per Academic Regulation, applicable to them, in the proper application format enclosed herewith (also available in university website) by 7
thDecember 2016 positively.
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Dean, Academic Affairs
Memo No. VSSUT/ACD/1615(4) Dated: 05.12.2016
Copy to:
1. University Notice Board.
2. Dean, Students’ Welfare for information and is requested to send the consolidated list of such applications to the office of the undersigned.
3. Dean, Faculty and Planning with a request to instruct the Manager, University website to hoist this notice.
4. PA to VC for kind information of Hon’ble Vice-Chancellor.
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Dean, Academic Affairs
FORM NO.( Academic): F
VEER SURENDRA SAI UNIVERSITY OF TECHNOLOGY, BURLA
APPLICATION FORM FOR CONDONATION OF SHORTAGE OF ATTENDANCE AS PER ACADEMIC REGULATION-2016
1. Name of the Applicant:
2. (a) Registration No: (b) Semester & Year :
(c) Programme (B.Tech/B.Arch/B.Tech & M.Tech Dual Degree/MCA/5yrs-Int.M.Sc./M.Sc./
M.Phil./Ph.D):
3. (a) Branch/Department: (b) Section (if any):
(c) Contact Tel.No. of the applicant: (d) E-Mail ID:
(d) Contact Tel. No. of Parents:
4. √ Mark against the following head for condonation of shortage of attendance as per Academic Regulation
(a) Death in the family:
(b) Long period of hospitalisation:
(c) Participation in sports,games NCC and NSS activities,other Academic/official
assignments in the interest of the University/Government after due recommendation from Head of the Department
5. List of documents enclosed to substantiate the reason mentioned in Sl. No. 4 (i)
(ii) (iii)
6.Period of absence from Class due to the reason mentioned in Sl. No. 4
*Sl.
No.
Period of Absence Total No.
of Days the applicant remained absent from Class
Name of the Theory Subjects
Name of the Deptt., offering the subjects
Name of the Subject Teacher
No. of classes held in the respective subject during the absence of applicant
Signature of the subject Teacher
From To
1
2
* The applicant can add more rows in above Table, if required.
N. B. : The applicant should submit this application in the office of Dean, Students’ Welfare after getting the signature of subject teachers at respective row of last column of the Table, immediately after the applicant remains absent in the classes.
Date of Submission (Full Signature of the Student)
(At Office of Dean Students’ Welfare)
Lettter No./VSSUT/DSW/Attend. Short/AA/ / Dated:
The attendance shortage case of the above student is recommended.
Signature & Official stamp (Dean Students’ Welfare) (The consolidated list of such applications should reach the office of Dean, Academic Affairs for necessary processing,one day after the last date for Theory class, as is notified in Academic Calender for respective semester)