Leave Request Form

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1. STUDENT DETAILS

Student Full Name

Student ID

Email Address

Contact No.

Enrolled Course Code and Course Title

2. REQUEST DETAILS

IMPORTANT NOTE:

Leave may be approved only for circumstances that meet compelling and compassionate criteria, such as verified medical emergencies or genuine visa-related matters. Personal events, including weddings, family functions and holidays, are generally NOT considered eligible grounds for leave approval.

Supporting Documents are COMPULSORY.

Leave Start Date

Leave End Date

No. of Days Requested

Reason for Leave

SUPPORTING DOCUMENTS

Supporting Document 1 Supporting Document 2 Supporting Document 3 Supporting Document 4 Supporting Document 5

3. STUDENT DECLARATION

I acknowledge the details and supporting documents I provided above are correct and genuine.

I acknowledge that this leave request is subject to college approval and is not automatically granted.

I understand this leave may affect attendance, grades and visa obligations.

I take full responsibility for any consequences arising from my absence.

Student Signature

Date

4. FOR OFFICE USE ONLY

Processed By

Date Received

Date Processed

Request Outcome

Comments

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Leave Request Form

1. STUDENT DETAILS

2. REQUEST DETAILS

SUPPORTING DOCUMENTS

3. STUDENT DECLARATION

4. FOR OFFICE USE ONLY

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