"*" indicates required fieldsHiddenREQUEST IDEnter Your Roll Number*Students PhotoAccepted file types: jpg, jpeg, png, gif.Students's Name* First Last Students's mobile number*Guardian's mobile number*Email* Nature of Request*ComplaintPayment ComplaintPayment Refund RequestRequest for LeaveCauses of leave*Due to SicknessDue to ExaminationDue to other ReasonAbsence Reason*Batch Time*08:00 to 09:00 AM09:00 to 10:00 AM10:00 to 11:00 AM11:00 to 12:00 AM02:00 to 03:00 PM03:00 to 04:00 PM04:00 to 05:00 PM05:00 to 06:00 PMRefund Amount*Payment Date* MM slash DD slash YYYY Transaction IdStart Date* DD slash MM slash YYYY End Date* DD slash MM slash YYYY Days of LeaveUploadMax. file size: 5 MB.1. The proof of payment that you are able to download from your Internet banking when making an electronic bank transfer. 2. A copy of your bank statement showing the payment made. 3. The proof of payment cannot be larger than 1 MB in size and must be in JPG, PNG or PDF format.Medical Certificate / Prescription upload/Examination Admit Card/Others*Your application is approved when uploaded document is checked by institute. (Max upload limit 1 MB )Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.Your Text Here...Max 500 charactersSTUDENT'S Signature*Guardian Signature*
