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Excuse Slip Form: Central Philippine University Iloilo City Philippines

This document is an excuse slip form from Central Philippine University in Iloilo City, Philippines. The form is used by students to request readmission to classes after absences and requires them to fill out personal information, dates and reasons for absence, and have their instructors note the number of absences. It also lists the documents students can attach to justify their absences and requires signatures from their department chair and dean to take action on whether the absence is excused or unexcused.

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245 views1 page

Excuse Slip Form: Central Philippine University Iloilo City Philippines

This document is an excuse slip form from Central Philippine University in Iloilo City, Philippines. The form is used by students to request readmission to classes after absences and requires them to fill out personal information, dates and reasons for absence, and have their instructors note the number of absences. It also lists the documents students can attach to justify their absences and requires signatures from their department chair and dean to take action on whether the absence is excused or unexcused.

Uploaded by

hipolito_comp1
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Central Philippine University

Iloilo City
Philippines
Excuse Slip Form

CPU ACA Form 24


Effective Jan. 12, 2009

To the Student:
1. Please accomplish this form in duplicate.
2. Fill up the form and let your instructor/s concerned write the number of absences that you have incurred from the beginning of the semester.
3. Go to your Dept. Chairman and Dean for proper action. Attach the ORIGINAL and PHOTOCOPY of any of the following as applicable:
1. medical certificate; 2. letter or note from parents/guardian; 3. excuse slip from coaches/teachers for participation in college/university games
4. others: __________________________________

Date (DD/ MM/ YY) : ___________________

I, _____________________________________, a __________________ student of the college


(Name of Student)

(Course/Year)

of _________________________________, hereby request readmission to my classes with


(Name of College)

absence(s) from _________________________________ for the following reasons:


(Date/s of absences)

____________________________________________________________________________
____________________________________________________________________________
Total No.
of
Absences

Time
Subject

MWF

TTh

Instructors Name/Signature

Remark on Students
Performance

Action Taken:
EXCUSED /___/

UNEXCUSED /___/

ADMIT /___/

______________________________
Department Chairman

______________________________
DEAN

Central Philippine University


Iloilo City
Philippines
Excuse Slip Form

CPU ACA Form 24


Effective Jan. 12, 2009

To the Student:
1. Please accomplish this form in duplicate.
2. Fill up the form and let your instructor/s concerned write the number of absences that you have incurred from the beginning of the semester.
3. Go to your Dept. Chairman and Dean for proper action. Attach the ORIGINAL and PHOTOCOPY of any of the following as applicable:
1. medical certificate; 2. letter or note from parents/guardian; 3. excuse slip from coaches/teachers for participation in college/university games
4. others: __________________________________

Date (DDMMYY) : ___________________

I, _____________________________________, a __________________ student of the college


(Name of Student)

(Course/Year)

of _________________________________, hereby request readmission to my classes with


(Name of College)

absence(s) from _________________________________ for the following reasons:


(Date/s of absences)

____________________________________________________________________________
____________________________________________________________________________
Total No.
of
Absences

Time
Subject

MWF

TTh

Instructors Name/Signature

Remark on Students
Performance

Action Taken:
EXCUSED /___/

UNEXCUSED /___/

______________________________
Department Chairman

ADMIT /___/

______________________________
DEAN

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