Professional Documents
Culture Documents
CONFIDENTIAL
AND
SEM 2 2013/2014
SEMESTER .. SESSION .
INSTRUCTIONS
To Candidate
1. Please complete Section A. You are required to submit this form to the Deputy Dean (Postgraduate)
of your Kulliyyah/Institute.
2. Sponsored students who would like to apply for leave of absence for any reason, must enclose
consent / approval letter for the leave of absence from their sponsor(s).
3. A student will not be granted a leave of absence unless the following conditions are fulfilled:
3.1 To attend class as usual and sit for any mid-term/final examinations
3.2 To submit the application form together with a valid air ticket/any travelling documents to the
Centre before leaving the country. The following table exemplifies some of the reasons and the
relevant necessary documents.
Reasons
Supporting Documents
1. Medical problem
e.g.: accidents, and any other serious
health problems
2. Personal problems
e.g.: family problems, marriage problems,
stress
3. Work constraints
NOTE:
Please complete the CPS-ADM/1/2005 form if you have any changes in your personal
particulars (such as e-mail address & mobile phone number).
3. Programme:
MIT
5. Reason(s) for Leave of Absence requested. Please attach any supporting document(s).
My father, aged 62, has been detected to have LUNG CANCER since last month. Being the only son of my parents,
I badly require
to accompany him during some travels in overseas hospital. Because my mother alone facing problems to
..
manage this situation. Im facing huge difficulties to continue and concentrate on my postgraduate studies at the
moment. I .....
request to issue me a two SEMESTER (SEP 1 13/14, SEP 2 13/14) leave on this urgent family issue.
*** Please find attached DOCTORs prescription from Bumrungrad International Hospital
and my TRAVEL TICKET.
Date :
Not Recommended
Remarks: ...
..
______________________
Signature & Stamp
______________
Date
Not Approved
Remarks: ..
______________________
Signature & Stamp
______________
Date
Action / Remarks
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