Annex B
APPLICATION FOR SHORT LEAVE OF ABSENCE (FOR UNDERGRADUATES)
Students are to read the information published at Student Intranet - OAS Short Leave of Absence,
before submitting this form to your home School.
Please do not fill up this form for the following leave categories as different procedures apply:
▪ Medical leave taken due to illness during examination periods – to refer to Student Intranet - OAS
Examination and Assessment for procedures.
▪ For leave taken during attachment/ internship, please apply via the online internship system, InPlace at
https://inplace.ntu.edu.sg. The Career & Attachment Office (CAO) will notify you of the outcome.
To be Completed by Student
I. Personal Particulars
Full Name : Thilagan Thirunavukarasu Matric No.: U2120889K
Programme: Study Year: 4 Type * : Full-time / Part-time
Chemical and Biomolecular Engineering
NTU Email:
Contact No: thilagan001@e.ntu.edu.sg
87321996
II. Leave Application
• Leave Request (Tick where appropriate) – to attach supporting document(s)
Medical Compassionate Others (ie. representing the University/ Country or
extenuating circumstances)
State reason: ______________________________
From: To: No. of Days of
(DD/MM/YYYY) (DD/MM/YYYY) Absence: 1
15/11/2024 15/11/2024
Remarks :
Details of classes missed during the leave period (To attach a separate sheet, if required)
Course Code Index Number/ Class Type Date Continual Full Name of
Tutorial Group (Eg. Lecture/ Tutorial/ Assessment Course Instructor
(if relevant) Laboratory etc.)
Missed (Yes/ No)
If ‘Yes’, pls state type
eg. Quiz / test etc.
Assoc Prof Kunn
CH4801 NA Lecture/CA2 15/11/24 Yes, Quiz 2 Hadinoto Ong
If you had missed laboratory session(s) from EEE/CCDS/ Physics Year 1 courses only: Please indicate your
preferred date and time for the make-up session, so that the School may contact you for the make-up session.
OAS – Short Leave of Absence
Last Update In: 27 Mar 2024 Pg 1
Student Acknowledgement
I have read and understood the procedures published at Student Intranet - OAS Short Leave of Absence and the
following points:
• Students need to apply for short leave if you cannot attend classes for the following occasions:
- On days when there are laboratory sessions.
- On days when quizzes or tests are conducted during classes
- On any other occasions that tutor(s) or lecturer(s) deemed as compulsory.
• On Medical Grounds
The medical certificate (MC), of which the scanned copy may be accepted, will need to be attached, and
submitted to your School no later than 7 workdays after the medical leave. Students are to retain their
original MC for 1 year for verification when necessary.
Important: The University only recognizes medical certificates issued by Medical Practitioners registered
with the Singapore Medical Council or Dental Officers registered with the Singapore Dental Council.
• Compassionate Leave
Leave may be granted in the event of the demise of an immediate family member, and granted within 7
days of death and on the day of the funeral.
• Leave will not be approved for:
- Returning to home country during festive periods e.g. Chinese New Year, Hari Raya, etc.
- Participating in activities (in and outside campus) organized by student bodies during various occasions.
• Students are responsible to check with their instructors and/or assigned group to keep up with course
requirements, including access i-NTULearn and NTU email for information that instructors may have
disseminated.
• If the student missed a test/ quiz/ assessment, please also email the respective instructor with the
scanned copy of supporting document(s) on the same day as session missed. The instructor may contact
the student on the alternate make-up (if relevant).
• Incomplete forms (eg. missing supporting documents) will not be processed. If student is not informed of
outcome via NTU email within 5 workdays of application, please contact the School to enquire.
Otherwise, student is deemed absent without valid reason.
• Student will be given zero marks for any test/ quiz/ assessment if the leave is not approved or supporting
document(s) are submitted beyond required timeframe.
15/11/2024
Thilagan Thirunavukarasu
Acknowledged by Student (Name and Signature) Date
Note: Please attach all supporting document(s). To also attach email notification to instructor(s) for absence
from any test/ quiz/ assessment.
For School’s Use
Date received: Received by:
1) The School verified that the leave does not coincide with the examination period/ attachment.
Yes No
2) The School verified that the leave application is aligned with the short leave policy and procedures.
Yes No
Remarks :
Decision*: Approved/ Rejected Endorsed by:
(Name/ Signature)
Designation:
* Delete where applicable
OAS – Short Leave of Absence
Last Update: 27 Mar 2024 Pg 2
15/11/2024, 11:36 Mail - #THILAGAN THIRUNAVUKARASU @ THILAGAN S/O THIRUNAVUKARASU# - Outlook
Outlook
Re: Regarding CH4801 Quiz 2 attendance 15/11/2024 (MC)
From #THILAGAN THIRUNAVUKARASU @ THILAGAN S/O THIRUNAVUKARASU# <THILAGAN001@e.ntu.edu.sg>
Date Fri 15/11/2024 10:14 AM
To Kunn Hadinoto Ong (Assoc Prof) <KunnOng@ntu.edu.sg>
Thank you Prof!!
Get Outlook for iOS
From: Kunn Hadinoto Ong (Assoc Prof) <KunnOng@ntu.edu.sg>
Sent: Friday, November 15, 2024 10:11:35 AM
To: #THILAGAN THIRUNAVUKARASU @ THILAGAN S/O THIRUNAVUKARASU# <THILAGAN001@e.ntu.edu.sg>
Subject: Re: Regarding CH4801 Quiz 2 attendance 15/11/2024 (MC)
Noted. The make-up quiz will be next Friday same timing in my office
From: #THILAGAN THIRUNAVUKARASU @ THILAGAN S/O THIRUNAVUKARASU#
<THILAGAN001@e.ntu.edu.sg>
Date: Friday, 15 November 2024 at 9:53 AM
To: Kunn Hadinoto Ong (Assoc Prof) <KunnOng@ntu.edu.sg>
Subject: Regarding CH4801 Quiz 2 attendance 15/11/2024 (MC)
Dear prof,
Good morning prof, this is Thilagan from ch4801. Prof as I'm feeling unwell, I won't be able to attend the quiz
today (15/11/2024) . I will forward you the mc and the approved load by today. Thank you and sorry for any
inconvenience caused.
Thilagan
U2120889k
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