Name Name
Course/block/student Course/block/student
no. no.
Name of institution Name of institution
Reason for being absent Attachment (please check) Reason for being absent Attachment (please check)
□Medical/Dental Certificate □Medical/Dental Certificate
□Parent’s Letter □Parent’s Letter
□Professor’s Letter □Professor’s Letter
□Others □Others
…………………………………………………………………………………………………………………………………………………………….
Name Name
Course/block/student Course/block/student
no. no.
Name of institution Name of institution
Reason for being absent Attachment (please check) Reason for being absent Attachment (please check)
□Medical/Dental Certificate □Medical/Dental Certificate
□Parent’s Letter □Parent’s Letter
□Professor’s Letter □Professor’s Letter
□Others □Others