Absence Notification Form
Section 1: Personal Information
Full Name
Student ID
Course/Program
Email Address
example@example.com
Contact Number
Section 2: Absence Details
Dates Difference
Reason for Absence
Please Select
Illness
Medical Appointment
Family Emergency
Personal Reason
Other (please specify)
If Other: "Please Specify"
Details of Absence (Provide additional details about your absence.)
Section 3: Supporting Documentation
Documentation Checklist
Medical Certificate
Appointment Confirmation
Emergency Evidence
Other (please specify)
If Other: "Please Specify"
Upload Supporting Documentation
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Section 4: Contact Information During Absence
Emergency Contact Name
Emergency Contact Number
Relationship to Emergency Contact
Section 5: Declaration
Acknowledgment
"I certify that the information provided in this notification is true and accurate to the best of my knowledge."
Signature
Date
-
Month
-
Day
Year
Date
Rosehill College
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