Republic of the Philippines

CARAGA STATE UNIVERSITY

P.O. Box 165, Ampayon, Butuan City, Philippines 8600
Tel. No. (6385) 342-3047, Fax No. (6385) 342-1079
E-mail:normisist.edu.ph – URL:http://www.normisist.edu.ph

Sports & Physical Education Office

ATHLETE/DLC Absence Form

Form 003
Guidelines
 Form is to be turned in at least two days before a missed class for absence to be excused.
 Form must be turned in no later than one week before a missed meet for absence to be excused.
 Excessive unexcused absences can result in dismissal from the Athlete/Band.
 For further questions, please refer to the SPEO.

Name of Student: ___________________________

Absence Date: ____________Name of Competition: ___________________
Reason:

Name of Instructor: ________________________________

Instructor Signature: _____________________ Subject:_________________________________
Student Signature: ________________________
Date: ___________
Parent/Guardian Signature: __________________
Date: ___________
Student Copy
Instructor Copy
SPEO Copy

Republic of the Philippines

CARAGA STATE UNIVERSITY
P.O. Box 165, Ampayon, Butuan City, Philippines 8600
Tel. No. (6385) 342-3047, Fax No. (6385) 342-1079
E-mail:normisist.edu.ph – URL:http://www.normisist.edu.ph

Sports & Physical Education Office

ATHLETE/DLC Absence Form

Form 003
Guidelines
 Form is to be turned in at least two days before a missed class for absence to be excused.
 Form must be turned in no later than one week before a missed meet for absence to be excused.
 Excessive unexcused absences can result in dismissal from the Athlete/Band.
 For further questions, please refer to the SPEO.

Name of Student: ___________________________

Absence Date: ____________Name of Competition: ___________________
Reason:

Name of Instructor: ________________________________

Instructor Signature: _____________________ Subject:_________________________________
Student Signature: ________________________
Date: ___________
Parent/Guardian Signature: __________________
Date: ___________
Student Copy
Instructor Copy
SPEO Copy