Student Leave Application

NOTE: Please attach the following documents together with the form
1. Proof of Medical Certificate (if applicable)
2. Letter of Undertaking from Student’s Parent or Guardian
(See Appendix I) (applicable for Long-term Leave*)
* Leave more than 7 working days

FIS-F29/Rev04 Last updated: 18 Oct 2022. All Rights Reserved.

Application Details
1. Name in Full 姓名

Han Yu Pin Yin
2. Class 班级
3. Student ID 学号
Must be 4 digits. Currently Entered: 0 digits.
4. Type of Leave 请假类别
5. Please explain reason to take leave. 请解释请假原因
6. Upload your MC or other documents. 提交医疗证书或其他文件,请把原件交到教师办公室。

Attach Files

可同时上传两张图片, 请拍照时竖着拍，方便阅读。
7. Handphone 手机号
Must be 8 digits. Currently Entered: 0 digits.
8. Start Date 开始日期 8. Start Date 开始日期 / DD / MM YYYY
9. End Date 截止日期 9. End Date 截止日期 / DD / MM YYYY
10. Time of Leave 请选择时间段, 可选择多种时间段

10. Time of Leave 请选择时间段, 可选择多种时间段 All Day 全天 Half Day (Morning 上午) Half Day (Afternoon 下午) Half day (Night Study 晚自习） Other 其他 Other 其他
11. Email 邮箱
12. Student Mentor
13. By signing this form I declared that,

13. By signing this form I declared that, 1. I have read through the Student Leave Application regulations in the Student Handbook and I am fully aware of the requirements 2. Any false declaration or non-full disclosure may result in me being issued with 20 Demerit Point as per detailed in Discipline Policy 3. I understand that absence from studies may have an impact on my academic performance which will then reduce my chances of a successful promotion and graduation.
14. Draw your signature into the box below. 请在此签字

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
15. Date 日期 15. Date 日期 / MM / DD YYYY

Student Leave Application

Student Leave Application

Application Details