COLLEGE OF AGRICULTURE

EXCUSE SLIP

COLLEGE OF AGRICULTURE

EXCUSE SLIP

Student ID No Date Filed

Student Name ETHYLJANE SIMBAJON

Course and Year

Subject(s) Missed
Cause of
Absence
Date of Absence
Supporting
Documents
TO (Professor/
Instructor)

SIR/MADAM: (Please tick appropriate box(es) below)

Please accept to your class the above-named student.
His / Her absence is EXCUSED / UNEXCUSED.
Instructor’s discretion
Please administer special exam
Others: ________________

________________________ KAREN N. LUCINO

College Guidance Counselor College Registrar

Note:
1. The guidance Counselor should sign only when absences reach 10% of the hours of scheduled work of the class

2. Should be supported w/a medical certificate/excuse letters/proof of circumstances

Accomplished in duplicate: 1 Student’s copy; 1 College Registrar’s Copy

CMU-F-1-ACA-017 03 June 2019 Rev. 0 Page 1 of 1