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Mentor Report

The Mentor-Mentee Handbook for SRI AMBAL VIDHYALAYA outlines the mentoring program aimed at providing students with personalized support and guidance to enhance their academic and personal development. It details the responsibilities of mentors, including maintaining records and communication with parents, as well as guidelines for conduct and support. The document also includes templates for academic performance reports, behavior reports, and leave applications.

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0% found this document useful (0 votes)
9 views40 pages

Mentor Report

The Mentor-Mentee Handbook for SRI AMBAL VIDHYALAYA outlines the mentoring program aimed at providing students with personalized support and guidance to enhance their academic and personal development. It details the responsibilities of mentors, including maintaining records and communication with parents, as well as guidelines for conduct and support. The document also includes templates for academic performance reports, behavior reports, and leave applications.

Uploaded by

moammed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SRI AMBAL VIDHYALAYA CBSE

VILATHIKULAM
AN ISO 9001:2015 CERTIFIED INSTITUTION

MENTOR-MENTEE
HANDBOOK
Mentor-Mentee Programme
We have high aspirations for all of our students and want to help them achieve and surpass
their own expectations and those of the people who teach and care for them. This policy aims to
identify the strategies deployed to ensure outstanding levels of mentoring and guidance.

Student mentoring in SRI AMBAL VIDHYALAYA, VILATHIKULAM is defined as a one-


to- one relationship between a student and the mentor that occurs over a prolonged period of time. The
mentor provides consistent support, guidance and concrete help to a student to provide them with a
positive role model.

Some students involved in the mentoring program may be going through a difficult and/or
challenging situation, a period of life in which they need extra support, or they may simply need to
have another significant adult present in their life. The goal of student mentoring is to help all students
involved in the mentoring program to gain the skills and confidence to be responsible for their own
futures and develop to their full academic and personal potential. SRI AMBAL VIDHYALAYA will
ensure that all learners receive the care, guidance and support necessary to maintain and extend their
personal development and academic progress.

Responsibilities Of The Mentor:


 Maintain Mentor-Mentee Booklet.
 Keep contact details of students & parents
 Record of all results
 Record of Mentor-Mentee meeting
 Student counselling should be done whenever required.
 Maintain record of mentees appeared to be disinterested in academic progress
 To have regular communication with the parents of the Mentees
 To submit a comprehensive Yearly Report on issues handled and resolved by the Mentor.
 Telephonic call record of defaulter students should be maintained.
 Maintain data of students ‘achievements
 Maintain discipline among students.

Important Notes About Conduct And Support:


 Avoid making negative comments about instructors, assignments, or texts.
 Refrain from doing students’ assignments or suggesting grades.
 Be clear about expectations for academic honesty and integrity.
 Draw a clear line between friendship and mentoring.
 Encourage students to communicate with professors and use campus support services.
 Seek advice from the Academic Mentoring Program
MENTOR’S INFORMATION
ACADEMIC YEAR 2025- 2026

Name of the Mentor

Department:

Contact Details with email:

No. Mentees allotted:

Classes of the Mentees:


SRI AMBAL VIDHYALAYA CBSE, VILATHIKULAM
2025-2026
INFORMATION ABOUT STUDENT FOR MENTOR MENTEE

1) Name of the Student

2) Date of Birth & Gender

3) Class

4) RollNo
5) Aadhar Number & EMIS Number
6) Name of the Father
7) Father’s Education
Occupation o Father
9) Name of the Mother
10) Mother’s Education

11) Occupation of Mother


12) Contact Number of Parent
13) Permanent Address
Pin Code:
14) Contact Number Landline Mobile No.
15) Parents Monthly Income:
Father ____________________________Mother_______________________________
16) Number of Brother
17) Whether studying in the same school Y/N _______________Class ___________________
18) Number of Sister ________________________
19) Whether studying in the same school Y/ N _____________________ Class : _____________________
20) Personal Mark for Identification: _______________________________________

i) Blood Group
ii) Height
iii) Weight
iv) Bus Number
v) Bus Route _____
Name of the Mentor : ____________________________
ACADEMIC PERFORMANCE REPORT
NAME OF THE EXAM :
Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign

ACADEMIC PERFORMANCE REPORT

NAME OF THE EXAM :


Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign
ACADEMIC PERFORMANCE REPORT

NAME OF THE EXAM :


Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign

ACADEMIC PERFORMANCE REPORT


NAME OF THE EXAM :
Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign
ACADEMIC PERFORMANCE REPORT

NAME OF THE EXAM :


Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign

ACADEMIC PERFORMANCE REPORT

NAME OF THE EXAM :


Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign
ACADEMIC PERFORMANCE REPORT

NAME OF THE EXAM :


Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign

ACADEMIC PERFORMANCE REPORT

NAME OF THE EXAM :


Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign
ACADEMIC PERFORMANCE REPORT

NAME OF THE EXAM :


Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign

ACADEMIC PERFORMANCE REPORT


NAME OF THE EXAM :
Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign
ACADEMIC PERFORMANCE REPORT
NAME OF THE EXAM :
Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign

ACADEMIC PERFORMANCE REPORT

NAME OF THE EXAM :


Grade: RollNo.:
Month Name of the subject b Marks Obtained Subject Teacher Sign

Internal External Total


English

Mathematics /Computer science

Physics

Chemistry

Biology/ Computer Science

TOTAL 500

Mentor Sign Co-Ordinator Sign Class Teacher Sign Principal Sign Parent Sign
TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign

TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign


TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign

TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign


TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign

TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign


TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign

TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign


TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign

TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign


TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign

TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign


TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign

TEACHER COMMENT

S.NO SUBJECT IMPOROVEMENT ACTION PLAN SUGGESTION SIGN OF SUB.TEACHER

Class Teacher Sign Co-Ordinator Sign Principal Sign


BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign


BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign


BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign


BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign


BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign


BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign


BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign

BEHAVIOUR REPORT
MONTH SPECIFICATION SIGN OF CLASS TEACHER REMARK

Co-Ordinator Sign Principal Sign


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


Students Leave Application

STUDENT'S APPLICATION FORM FOR LEAVE

To, Date:
The Mentor,

RespectedSir/Madam

I require the day(s)Leave for the following reason .Please sanction the leave.

Name of the Student:..........................................................................................

Grade :........................... Roll No.:..........................................

Date(s)on which leave(s) required:...........................Total day(s):..........................

Reason for leave:..................................................................................................

Contact no. when at leave:..............................................

Thanking You. Yours Obediently

(Sign of the student)

Leave sanctioned/not sanctioned

.....................................................

(Name &Signature of Mentor)


PERMISSION LETTER FOR LEAVE FROM MENTOR
To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................


Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)

PERMISSION LETTER FOR LEAVE FROM MENTOR


To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................

Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)


PERMISSION LETTER FOR LEAVE FROM MENTOR
To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................

Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)

PERMISSION LETTER FOR LEAVE FROM MENTOR


To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................

Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)


PERMISSION LETTER FOR LEAVE FROM MENTOR
To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................

Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)

PERMISSION LETTER FOR LEAVE FROM MENTOR


To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................

Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)


PERMISSION LETTER FOR LEAVE FROM MENTOR
To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................


Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)

PERMISSION LETTER FOR LEAVE FROM MENTOR


To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................

Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)


PERMISSION LETTER FOR LEAVE FROM MENTOR
To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................

Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)

PERMISSION LETTER FOR LEAVE FROM MENTOR


To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................

Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)


PERMISSION LETTER FOR LEAVE FROM MENTOR
To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................


Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)

PERMISSION LETTER FOR LEAVE FROM MENTOR


To,

The Concerned Teachers,

The following student has taken my permission for daysleave(s).

Name of the Student:......................................................................................................

Grade ...........................RollNo......................................................................... Date(s)

On which leave(s) sanctioned:...........................

Reason for leave:.............................................................................................................

.....................................................

Date: (Name &Signature of Mentor)

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