As a result of my absent from the abovementioned block, I have missed the following session(s) and/or the following assessment(s) have been affected.
Day
Date
From:
To:
Session(s) Missed and/or Assessment(s) affected
if Other please specify
Monday
26-1 to 27-1
8:00
5:00
Lecture
All Lectures
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I confirm that the Information provided on this form is to the best of my knowledge honest and accurate and that I have read and understood my responsibilities relating to this notification of absence.
Student Affairs Remarks
Copy to Clinical Affairs
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