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To,

Cavite State University


Don Severino de las Alas Campus
Indang, Cavite
January 19, 2023

Respected Dean,
Most humbly to say that my name is Kim C. Lara. I am a student of BS Criminology Section 3-5
with student number 202011207. I underwent surgery last December 20, 2022. My doctor
recommended to rest about three to succeeding months. For that, I hereby request a leave of
absence on January 20, 2023, until the last day of the whole second semester. I do really want to
attend the class and finish the entire semester, but the thing is I can’t manage to attend the class
since it is faced to face as per the decision of the school.

I have also attached medical certificate for your reference.

Hoping for your consideration.

Regards,
___________

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