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STUDENT PASS STUDENT PASS

Date ______________

Please Admit Please Admit


Excuse (Name of Student) Excuse (Name of Stu
Allow Allow
(Grade and Section) (Grade and Se

To Classroom Computer Lab To Classroom


From Comfort Room Office From Comfort Room
Other_________________________ Other_______________

AM / PM AM / PM
Time Left Signature Time Left Signatu

AM / PM AM / PM
Time Arrived Signature Time Arrived Signatu

STUDENT PASS STUDENT PASS


Date ______________

Please Admit Please Admit


Excuse (Name of Student) Excuse (Name of Stu
Allow Allow
(Grade and Section) (Grade and Se

To Classroom Computer Lab To Classroom


From Comfort Room Office From Comfort Room
Other_________________________ Other_______________

AM / PM AM / PM
Time Left Signature Time Left Signatu

AM / PM AM / PM
Time Arrived Signature Time Arrived Signatu

STUDENT PASS STUDENT PASS


Date ______________

Please Admit Please Admit


Excuse (Name of Student) Excuse (Name of Stu
Allow Allow
(Grade and Section) (Grade and Se

To Classroom Computer Lab To Classroom


From Comfort Room Office From Comfort Room
Other_________________________ Other_______________

AM / PM AM / PM
Time Left Signature Time Left Signatu

AM / PM AM / PM
Time Arrived Signature Time Arrived Signatu
NT PASS
Date ______________

(Name of Student)

(Grade and Section)

Computer Lab
Office
_________________________

Signature

Signature

NT PASS
Date ______________

(Name of Student)

(Grade and Section)

Computer Lab
Office
_________________________

Signature

Signature

NT PASS
Date ______________

(Name of Student)
(Grade and Section)

Computer Lab
Office
_________________________

Signature

Signature

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