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LEAVE OF ABSENCE FORM20104176244

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					                                                                                            Return completed form to:
                                                                                             Level 1, 171 Elizabeth Street
                                                                                                       Brisbane QLD 4000
                                                                                        Email: info@kellycolleges.com.au
                                                                                   Tel: 07 3210 2200 Fax: 07 3210 2247
                                                                                                        CRICOS 02563D
Building better futures since 1975


                                        LEAVE OF ABSENCE FORM
   Student Number:                                         Telephone Number:

   Family Name:                                             First Name:

   Course Enrolled:

   LEAVE OF ABSENCE

   I wish to take Leave of Absence at Kelly Colleges from:                                      (dd/mm/yyyy)

   I intend to return to study on:                                        (dd/mm/yyyy)

   Total duration of leave of absence:                                    (days)

   Reason of leave of absence application:




  IMPORTANT INFORMATION

  • 12 weeks minimum enrolment required to apply for leave of absence
  • Leave of Absence will not be granted if
     - there is insufficient time in which to complete your award program; or
      - fees and charges are outstanding.
  • Leave of Absence does not avoid exclusion under academic progress requirements.
  • Approval is under the discretion of Kelly Colleges and may be granted under the following
    circumstances:
  Evidence Required
  Serious illness ---- Medical certificate
  Psychiatric illness ---- Psychiatric assessment
  Death of immediate family member ---- Death certificate
  Visit of immediate family member ---- Copy of flight tickets under family name.



   Signature                                               Date

  Office Use Only

   Document Received by: Date Recei                                Date Processed:

   Leave of Absence:                 Approved   Rejected

   Signature:

  Leave of Absence Request Form -v3 110809

				
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Description: LEAVE OF ABSENCE FORM20104176244