HLTH1010/501
(July 2015)
Healthy Lifestyle Course
Class Leave Application Form
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Please delete as appropriate
To:
Class Instructor / Course Office at Course Office (Room 1013, via Lift3 or take staircase
next to Tsang Shiu Tim Art Hall)
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From:
,
Name (Block letters)
Student ID No.
I am the class participant of __________________________ (Class Code) and wish to
apply for *casual/sick leave on _________________________ (Date).
I understand that student taking leave will NOT attain attendance hours for the
session(s) concerned.
* Please delete and attach sick leave certificate as appropriate.
Signature:
Date:
(For HLTH1010 Course Office Use only)
Received & sent to Class Instructor on: ______________________ by _________________.
Enquiry: 2358-8586
E-mail: hlstyle@ust.hk
Web site: http://sao.ust.hk/HLTH1010
Progress check: http://my.ust.hk