Student Number
*
Can be found on the back of the students badge
Name
*
First Name
Last Name
Absence Start Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Hour Minutes
AM
PM
AM/PM Option
Expected Absence End Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Hour Minutes
AM
PM
AM/PM Option
Absence Reason
*
Please Select
Unwell
Medical Appointment
Caring Responsibility
University Open Day
University Appointment
Bereavement
Driving/Theory TEst
Attending a Funeral
Religious Observances
Other appointment (please attach evidence)
Absence Details
*
Upload Absence Evidence
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