Student Leave Application Form

Student Leave Application Form

(To be submitted by Parents/Guardian)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
This form should be used by the parents/guardian only for students leave or absent reasoning, including medical leave. All medical leave applications must be supported by a valid medical certificate and submitted to the front office, once student resuming schooling.
Student Name

First NameLast Name
Please select the Class
(Do not leave it blank)
Parent / Guardian

First NameLast Name
Phone Number

Land lineMobile Phone Number
Reason for ABSENCE
Please enter the reason for absence from school
Upload medical certificate

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