សាកលវិទ្យាល័យកម្ពជា

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THE UNIVERSITY OF CAMBODIA
Application for Leave of Absence
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Ref: T3 AY 2022-2023
Ly Solim 012 981668
Name of Teaching Staff:………………………….………………….. Phone: ………………………………
TFSB
College/School of:…………………….………………………

Session Date(s) Requested Make Up/

Nº Course Code Time Class Location
Substituted by
M A E W From To

5.45-8.45
1 HTM300 Evening Online 10/08/23 11/08/23
5.45-8.45

5.45-8.45
2 HTM300 Evening 5.45-8.45 Online 24/08/23 25/08/23

Personal travel
Reasons for leave of absence: …………………………………………………………………………………….

…………………………………………………………………………………………………………………………

Documentary Evidence? No

Dean/Associate Dean (Respective College)

Signature Signature

Ly Solim

05/08/2023 05/08/2023
Date: ……………………………… Date: ………………………………

Notes

1. Copies of this form can be obtained from the Office of Academic Affairs (OAA) or the relevant School/College; and should
be returned to the latter upon completion for onward transmission to the OAA.
2. To be fair to other, including their students, faculty shoud submit this form at least two (2) days in advance for an absence
with good reason for a planned event such as a worksop (imoirtant spcial occassions may also be considered) so that
classes can be notified or a substitute found.
3. For unforesseable serious happening (illiness, etc.), faculty should inform by phone or e-mail the relevant School/College
or the OAA (023-993-276) at the earliest available opportunity, thereafter, they must submit the above form in hard copy to
the Dean/Associate Dean as soon as possible.
4. In either case, the faculty should seek to find a suitable time-slot to make-up the necessary lecture(s) as soon as possible
thereafter.

5. Please try to avoid taking too many Leaves-of-Absence: it will reflect poorly in your personal records.