Application For Student Leaving Without Completing Course
This file is an application form for students who want to leave the Dr. Vithalrao Vikhe Patil College of Engineering without completing their course. It includes instructions for issuing a college leaving certificate, submitting necessary documents, and obtaining the required clearances. The form also requires parental consent for cancellation of admission.
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How do I fill this out?
Filling out this form requires several steps to ensure the proper cancellation of admission. Begin by completing the student and course details at the top of the form. Next, gather the required documents and obtain the necessary clearances from various departments.

How to fill out the Application For Student Leaving Without Completing Course?
1
Enter student and course details at the top of the form.
2
Specify the reasons for leaving the course.
3
Attach the required documents including Xerox copies, photo, and identity card.
4
Obtain clearances from all listed departments and HODs.
5
Submit the completed form along with parental consent to the college principal.
Who needs the Application For Student Leaving Without Completing Course?
1
Students who could not complete their Bachelor of Engineering degree course.
2
Students seeking a college leaving certificate.
3
Parents providing consent for cancellation of their child's admission.
4
Department heads needing to clear any dues for a departing student.
5
College administrators processing the form to issue a leaving certificate.
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Open the application form on PrintFriendly's PDF editor.
2
Enter personal and course details at the designated fields.
3
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4
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5
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What are the instructions for submitting this form?
Submit this form by attaching all required documents and obtaining the necessary departmental clearances. Then, submit the completed form along with parental consent to the college principal. Ensure to follow the guidelines and keep a copy of the submitted form for future reference.
What are the important dates for this form in 2024 and 2025?
The leaving certificate is issued 15 days after the submission of the application form. Ensure you complete all steps promptly to avoid any delay.

What is the purpose of this form?
The purpose of this form is to facilitate students in officially leaving the Dr. Vithalrao Vikhe Patil College of Engineering without completing their degree. It outlines the steps required to obtain a college leaving certificate, including the submission of necessary documents and departmental clearances. The form also ensures that parental consent is obtained for the cancellation of the student's admission.

Tell me about this form and its components and fields line-by-line.

- 1. Student and Course Details: Enter personal details including name, admission year, and course branch.
- 2. Reason for Leaving: Specify the reasons why the student could not complete the course.
- 3. Required Documents: Attach Xerox copies of the marks list, receipts, passport photo, and identity card.
- 4. Departmental Clearance: Obtain clearances from all listed departments to confirm no dues are pending.
- 5. Parental Consent: Provide a written consent from parents for the cancellation of admission.
- 6. Signature: Sign the application to authenticate the request for the leaving certificate.
What happens if I fail to submit this form?
Failing to submit this form could result in complications with official records and processing.
- Incomplete Cancellation: Your admission may not be officially canceled, leading to potential academic and administrative issues.
- Document Retrieval: You may face delays in retrieving original documents left with the college.
- Unsettled Dues: Outstanding dues may remain unsettled, impacting future academic or administrative dealings with the college.
How do I know when to use this form?

- 1. Non-completion of Course: If you cannot complete the Bachelor of Engineering degree course.
- 2. Transfer to Another College: If you need to transfer to another institution and require a leaving certificate.
- 3. Personal Reasons: If personal circumstances prevent you from continuing your studies at the college.
- 4. Medical Reasons: If health issues necessitate your departure from the college without completing the course.
- 5. Financial Issues: If financial constraints make it impossible for you to continue your education at the college.
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