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Date

20/03/2015

STATEMENT OF ABSENCE
Number of Days
Reason for Absence
1
Fever

17/03/2015

Stomach pain

10/03/2015

Fever

09/03/2015

Fever

25/02/2015
19/02/2015
18/02/2015

1
1
1

Visit doctor
Engagement
Engagement

14/02/2015

Medical checkup

19/02/2015

Funeral

18/02/2015

Funeral

14/02/2015

Fever

09/02/2015

Went to temple

06/02/2015

Marriage

04/02/2015

Fever

28/01/2015

Stomach pain

19/01/2015

Hospitalized

17/01/2015 - 12/01/2015

Hospitalized

09/01/2015

Fever

06/01/2015

Marriage function

05/01/2015

Marriage function

17/12/2014

Medical checkup

15/12/2014

Stomach pain

12/12/2014

Funeral

10/12/2014

Driving test

08/12/2014

Funeral

Total number of Working Days 73 Days


Student

Signature of the

Certified that timely application for leave was made and leave granted at the time.

Signature of the Principal

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