8/9/2019 Application or Extension of Semester Leave of Absence
Form (24Aug13).pdf
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OAS / CSS – Semester LOA / 0001Last Update In: August 2013 Pg
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Official Use by School
I. Recommendation (Tick where appropriate)
Students can be granted semester LOA up to a cumulative maximum
period of 3 years (6 semesters).
Note: Once the application for semester LOA is approved, any
courses currently registered by the studentwill be dropped. Please
contact Examination Team (attn: Mala) immediately if any courses
are to beretained.
The number of semester LOA granted to student so far is :
_____________ semester(s).Student requires counseling and has been
referred to the Counseling Centre.
The School has reviewed the application and recommends / does
not recommend * the application forsemester leave of absence.
Comments (attach additional documents, where applicable):
Name of Associate Dean / Chair of School Signature Date
Official Use by OAS (Tick where appropriate)
I. Evaluation (Tick where appropriate)
Leave supported : Yes No
Leave counted towards candidature : Yes No
Tuition fees to be charged : Yes No
Comments (attach additional documents, where applicable):
Processed by Officer: ____________________________ Date :
__________________________
II. Approval
I approve / do not approve * the application for semester leave
of absence.
Comments (attach additional documents, where applicable):
Name & Designation of Approving Officer Signature Date*
Delete where applicable
