Absence Form

Use this form to request an authorization for your absence. Unless you have an illness, family bereavement or
serious problem that you must attend to, then leave is unlikely to be granted. Your request must be accompanied by
the appropriate evidence attached to this request.

Student Details:
Surname: First Name:

Student ID: D.O.B:

Course: Group/Session:

Tel. No.: Email Address:

Dates of Absence(s):

Reason for Absence:

Declaration: I understand that if my request for an absence authorization is at the discretion of the College and that
if my request is not granted then I will continue to attend classes and meet all my course obligations as normal. I
have attached documentary evidence to support my request. By submitting this form I agree for Regent College to
check authenticity of all provided evidences, including verification of medical evidence.

Student signature: …………………………………………………………………………………. Date: ………………………………………….........

Office Use Only:

☐ Approved ☐ Rejected Attendance:

Comments:

Staff Name: Signature: Date:

Initial Scanned Application updated on Unit-e Outcome updated on Unit-e Final Scanned

Version 4.0 Updated on 04/09/2019