AMITY UNIVERSITY

-------UTTAR PRADESH---------

Name of Institution -Amity Institute of Biotechnology Request for OFFICIAL DUTY (OD) To, Head of Institution The ______ (No. of students) are recommended to participate/organize following activity i) ii) iii) Name of Activity Date(s) of Activity Time of Activity & Duration

From: ____________ To: ____________

Following students will be on for official duty as per the details given below: Sl No. Students Name Enroll. No. Roll No. Program Courses/Classes missed Responsibility

I will forward the students performance report of the activity within 24 hrs on completion of duty. Requested by Signature. Date Faculty in-charge for activity.................. Head of Institutions Approval Approved/Not Approved

Date

Signature of Head of Institution