AMITY UNIVERSITY

UTTARPRADESH

AMITY BUSINESS SCHOOL

REQUEST FOR ISSUE OF OUTPASS

To,

Hostel Superintendent/Warden

Amity University

Through:

Programme Leader/Co-ordinator

Amity Business School,

Amity University

From:

Name of the Student

PROGRAMME: MBA (General/MS/HR/Retail/Ent./NGO/Rul Mgt) Class of …………

Year and Semester

Enrollment/ Roll No.

Hostel name (with room number)

Date of Leaving

Date of Return

Contact Number of Student

Address of Place with Contact Detail

Contact Number of Father/Mother/Guardian

Reason

Requested by Signature of the Programme Leader/Co-ordinator

(Student Sign. With date) (With Office stamp)