"Application for Leave of Absence - Gratia Christian College"

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Application Form for Leave of Absence
Notes for students:
Students should submit this form to the Registry with supporting documents.
Students should be aware that granting leave of absence is not automatic.
Approval may be given by Registrar on a case-by-case basis.
The result will be informed by the Registrar via e-mail.
For medical reason, application should be submitted within 3 days after the discovery of their needs ( e.g. non-elective medical
surgery)
For exchange studies, application should be submitted once the offer have been accepted.
Part 1 : PERSONAL PARTICULARS
(in Chinese) :
Name (in English) :
Contact Number (Mobile) :
Student ID :
Programme/Year :
(e.g. BBA2)
Part 2 : DETAILS OF APPLICATION
Length of leave applied for _________________________month(s)________________________day(s)
From _______________________ to ______________________________ (inclusive)
Reasons
Supporting documents
Medical reasons
-Medical Certificate
(Only accepted for five consecutive school day's leave or more due to serious disease)
Exchange studies
-Award letter for the exchange studies
-Admissions letter from the host university
Others
-Any relevant supporting documents, please specify :
Signature (Student)
Date
FOR INTERNAL USE ONLY
The application is approved / not approved*
Date
Signature (Registrar)
*please delete as appropriate
Application Form for Leave of Absence
Notes for students:
Students should submit this form to the Registry with supporting documents.
Students should be aware that granting leave of absence is not automatic.
Approval may be given by Registrar on a case-by-case basis.
The result will be informed by the Registrar via e-mail.
For medical reason, application should be submitted within 3 days after the discovery of their needs ( e.g. non-elective medical
surgery)
For exchange studies, application should be submitted once the offer have been accepted.
Part 1 : PERSONAL PARTICULARS
(in Chinese) :
Name (in English) :
Contact Number (Mobile) :
Student ID :
Programme/Year :
(e.g. BBA2)
Part 2 : DETAILS OF APPLICATION
Length of leave applied for _________________________month(s)________________________day(s)
From _______________________ to ______________________________ (inclusive)
Reasons
Supporting documents
Medical reasons
-Medical Certificate
(Only accepted for five consecutive school day's leave or more due to serious disease)
Exchange studies
-Award letter for the exchange studies
-Admissions letter from the host university
Others
-Any relevant supporting documents, please specify :
Signature (Student)
Date
FOR INTERNAL USE ONLY
The application is approved / not approved*
Date
Signature (Registrar)
*please delete as appropriate
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