| Full Name: |
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Student Registration Number:
(You can find it on your Registration Slip or in the top left corner of your Campus Card.) |
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Date of Birth: |
(dd/mm/yyyy) |
| Email Address: |
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| Course of Study: |
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YOUR ABSENCE DETAILS |
First Date of Absence: |
(dd/mm/yyyy) |
| Reason for Absence: |
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Approx. Length of Absence:
(sessions/days/weeks) |
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Session(s) you are unable to attend:
(If your absence is longer than one week please enter every session (do not include lecture slots) you are timetabled to attend during the first week of absence - there is no need to repeat sessions for the following week(s); at least one session's details must be entered.) |
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