Father Saturnino Urios University

Nursing Program
Butuan City

EXCUSE LETTER

Name: _________________________________________________________ Section: _______________

Subject Activity Clinical Instructor

(Course Code Only) (eg. UE, Midterm Exam) (Complete Name)

Note: May add rows if affected subjects during your missed activity is more than 5.

Reason/s for absence:

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Name and Signature of Student Name and Signature of Parent or Guardian