Application for Approved Absence
Name
*
First Name
Last Name
Student Number
*
DATE ABSENT FROM
*
-
Day
-
Month
Year
Date
DATE ABSENT TO
*
-
Day
-
Month
Year
Date
CLASS(ES) ABSENT FROM
*
NATURE OF AND/OR REASONS FOR ABSENCE
*
HAVE YOU SPOKEN WITH YOUR UNIT LECTURER(S)?
*
Yes
No
PLEASE ATTACH ANY RELEVANT SUPPORTING DOCUMENTATION
*
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