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TDT CREATIVE LANGUAGE CENTER Code:FORM

TT/CLC/03/BM01
CODE:
SUBSTITUTE REQUEST FORM Issued No.: 01
SEMESTER: I SCHOOL YEAR:2021-2022 Effective date: Oct 25th, 2019

To: TDT Creative Language Center

My name is: Tieu Ngoc Nhi Student’s ID No. 718H1729 Tel. No. 0917220606

I’m studying in class: English 4 (001204) Group:200

I was absent for 1 sessions(s) on Day 6 Date : 23th, November, 2021 Shift 1

Reasons: My home is out of internet and I can't attend class on Tuesday, November 23,
2021

I’m writing this form with the hope that the center will give me permission to have a
substitute class so that I can obtain sufficient knowledge.

Substitute Class:……………. Day ……Date…….…….........Shift.……Room:……….

I hereby assure all the above-mentioned information is true. I will take full responsibility for
any shortcomings.

Thank you for your consideration.

Ho Chi Minh City, day 27 month 11 year 2021

CONFIRMED BY TDT-CLC SUBMITTED BY


(Sign and state your full name)

Nhi
Tiêu Ngọc Nhi

Attendance check:
Substitute classes Lecturer’s confirmation
No. Level Group Date (Sign and state your full
name)
1
2
3
4
5
6

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