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    Application For Leave of Absence Form - V5

    Uploaded by

    Mirzea Daniel
    This document is an application for a leave of absence from studies at the London School of Science & Technology. It requests information such as the student's name, ID number, dates of absence, and reason for requesting leave. It notes that the application will be processed by the Attendance Officer and the student will be notified if it is approved or rejected. International students are advised to discuss the implications on their visa with the support department before applying.

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    © All Rights Reserved
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    Application For Leave of Absence Form - V5

    Uploaded by

    Mirzea Daniel
    31 views2 pages
    This document is an application for a leave of absence from studies at the London School of Science & Technology. It requests information such as the student's name, ID number, dates of absence, and reason for requesting leave. It notes that the application will be processed by the Attendance Officer and the student will be notified if it is approved or rejected. International students are advised to discuss the implications on their visa with the support department before applying.

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    Application for Leave of Absence form_V5

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    This document is an application for a leave of absence from studies at the London School of Science & Technology. It requests information such as the student's name, ID number, dates of absence, and reason for requesting leave. It notes that the application will be processed by the Attendance Officer and the student will be notified if it is approved or rejected. International students are advised to discuss the implications on their visa with the support department before applying.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    31 views2 pages

    Application For Leave of Absence Form - V5

    Uploaded by

    Mirzea Daniel
    This document is an application for a leave of absence from studies at the London School of Science & Technology. It requests information such as the student's name, ID number, dates of absence, and reason for requesting leave. It notes that the application will be processed by the Attendance Officer and the student will be notified if it is approved or rejected. International students are advised to discuss the implications on their visa with the support department before applying.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Page 1 of 2

    Application for a Leave of Absence


    When completed the form should be sent to/submitted to:
    London School of Science & Technology, Registry Office:
    First Floor, Alperton House, Bridgewater Road, Wembley, Middx, HA0 1EH,
    Fax: 020 8795 3864, Email: [email protected]
    Your form will be passed to the Attendance Officer who will process the leave of absence. You will
    then receive email confirmation from the Attendance Officer confirming your absences is Approved
    or Rejected.
    It is your responsibility to notify the Attendance Officer when your leave of absence is due to
    expire to confirm your return and to submit any required medical evidence if the Leave of
    Absence was agreed on medical grounds.
    If you wish to tell the College about a disability or long term health condition (including dyslexia or
    mental health conditions) and you haven’t already done so, please contact Student Support
    Department by email: [email protected].
    Please note: If your absence is longer than 4 weeks please contact LSST Attendance Officer
    [email protected] for further advice.

    All evidence must be in English, or accompanied by an English translation from an


    accredited translator.

    Please complete the form in BLOCK LETTERS


    A. Personal Details
    * Last Name:
    * First Name:
    * Student ID Number: * Date of Birth:
    * E-mail: * Telephone Number:
    * Course Name:

    B. Absences
    Please tick as appropriate:

    Medical Maternity Paternity

    Other Non-Medical (state reason) e.g. bereavement

    C. Medical Details/Other
    First date of absence:

    Last date of absence:

    Total number of school days:

    LAF V5
    Page 2 of 2
    D. Describe your reasons for absence(s) (continue on a separate sheet if necessary):

    Applications without appropriate supporting evidence will not be considered and


    will be rejected.

    E. Declaration
    I understand that if my request for an absence authorisation is at the discretion of the College and
    that if my request is not granted then I will continue to attend classes and meet all my course
    obligations as normal. I have attached documentary evidence to support my request. By submitting
    this form I agree for LSST to check authenticity of all provided evidences.

    Student Signature: Date:

    F. For Tier4 Student Visa Only


    If you are an International student and in the UK on a student visa. You are therefore advised to
    discuss your Leave of Absence with the Student Support Department or Attendance Officer prior to
    submitting your request, so that you can be informed of the actual implications to your visa.
    Depending on your immigration permission the School may have to report changes in your
    planned study to the UKVI. Immigration Visa information is available on the UKVI 's website:
    https://www.gov.uk/government/organisations/uk -visas-and-immigration
    Do you currently hold a Student Visa?

    Yes No N/A

    **Please submit a photocopy of your current passport photo page and visa with your application form.
    If you extended your visa in the UK you will have a pink Biometric Resident Permit – please submit a
    copy of both sides of this card. Your Leave of Absence will not be processed unless these supporting
    documents are received**

    DECLARATION: I understand the implications of taking a leave of absence and that it is my


    responsibility to notify the LSST of my wish to return prior to the proposed date of return
    quoted on this form

    Student Signature: Date:

    Office Use Only Approved Rejected

    Comments:

    Name: Signature: Date:

    LAF V5

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