Explain Medical Certificate

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					ABFORM.doc


                         SCHOOL OF MEDICAL SCIENCES

                         ABSENCE FROM CLASSES FORM

                               WRITE LEGIBLY IN INK


Your Name and ID………………………………………………………….

Course Number and Title……………………………………………………

Classes missed           Lectures                 Practicals   Seminars
( as necessary)

Date(s) of classes missed From…………………… To……………………

Reasons for absence

1. Illness                a box as appropriate

        Self certified
(not exceeding 6 days)

Explain:



        Medical Certificate



2. Other
(give details)


Was Other absence approved by Course Co-ordinator

                 Yes                              No


                         Confirmed by Course Co-ordinator……………..

Signature…………………………….

Date……………………………………

PLEASE SEND THE COMPLETED FORM TO MS JILL REID, SCHOOL OF
MEDICAL   SCIENCES,  INSTITUTE  OF   MEDICAL     SCIENCES,
FORESTERHILL WITHOUT DELAY.

				
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