Excused Absence Form

The system will only process the dates that you have entered, submit a new additional entry if there is insufficient space. Thank you.

Full Name (as reflected in NRIC) Full Name (as reflected in NRIC) * First Last
Program *

Program BSCS RTIS BSCS IMGD BA UXGD BSCS GD BAGD BFA BEng SEEMS BEng METS
Student ID Number (e.g.39000xxxx or 220xxxx) *
DigiPen Email *
Contact Number *
Trimester *
Reason for Absence *

Reason for Absence Medical Military Duty Bereavement Cov-19 Others (Please specify) Others (Please specify)
Only 1 Course code will be valid *e.g CSD1400* *
Section:
(E.g CSD1400-A, select A from drop-down menu) *
Instructor's name *
Date of absence(Only listed dates will be approved, if insufficient space please submit additional entry) Date of absence(Only listed dates will be approved, if insufficient space please submit additional entry) * / MM / DD YYYY
Date of absence Date of absence / MM / DD YYYY
Date of absence Date of absence / MM / DD YYYY
.
.
.
Second entry (if applicable)

This is the description of your section break.
Only 1 Course code will be valid *e.g CSD1400"
Section:
(E.g CSD1400-A, select A from drop-down menu)
Instructor's name
Course code *e.g CSD1400"
Section:
(E.g CSD1400-A, select A from drop-down menu)
Instructor's name
Date of absence(Only listed dates will be approved, if insufficient space please submit additional entry) Date of absence(Only listed dates will be approved, if insufficient space please submit additional entry) / MM / DD YYYY
Date of absence Date of absence / MM / DD YYYY
Date of absence Date of absence / MM / DD YYYY
.
.
.
Upload your Supporting document *

Attach Files

Kindly note: Excused absence will not be accepted without documentation. Documentation must originate from a medical clinic/institute or other official sources. This application will not automatically excuse you from any submission/quiz etc during the period of absence.
Upload your Supporting document

Attach Files
Digitial QR link- MC (if any)
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Excused Absence Form

Excused Absence Form

Second entry (if applicable)