Universiti Tunku Abdul Rahman: Application For Leave of Absence

Universiti Tunku Abdul Rahman
Department of Admissions and Credit Evaluation

PO Box 11384, 50744 Kuala Lumpur
AD/LA-Rev/10(1a)
APPLICATION FOR LEAVE OF ABSENCE

Name:
___________________________________
IC No.:
___________________________________
Course of Study: ______________________________

Level of Study: *Foundation/Bachelor/Master/Doctoral
Registration No: __________________
Year ________ Trimester __________

* Evening & Weekend Basis/Full Time
(*Please circle whichever is applicable)

Address:
______________________________________________________________________________
______________________________________________________________________________
Tel. No: __________________ (H) __________________ (H/P)
I would like to apply for Leave of Absence:
From (Month and Year): __________________
Year __________
Trimester ___________
To
Year __________
Trimester ___________
(Month and Year): __________________
Units registered during the current trimester (unit code and description):
(i) _______________________________________ (ii) __________________________________
(iii) ______________________________________ (iv) __________________________________
(v) ______________________________________ (vi) __________________________________
Reason(s) for Leave of Absence:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
I attach herewith document(s) deemed relevant to support my application.
Signature: ___________________________
Date: __________________________
Policies on Leave of Absence

Students are advised to read the following carefully:
1) A student who decides to apply for Leave of Absence from his course of study may do so
by submitting the prescribed Application for Leave of Absence form which can be
obtained from Centre for Foundation Studies/Faculty General Office/Institute of
Postgraduate Studies and Research
2) An application for Leave of Absence must be made before the end of Week 10 of a Long
Trimester or Week 5 of a Short Trimester except under extenuating circumstances
approved by the University.
3) No Leave of Absence is allowed unless duly approved by the Dean of Faculty/Director of
Centre.
4) The maximum duration of Leave of Absence are stated as follows:
a) Foundation Level
(maximum 1 year)
b) Bachelor Level
(maximum 2 years)
c) Master Level
(maximum 1 year)
d) Doctoral Level
(maximum 2 years)
5) The period herein granted as leave of absence shall not be taken into account as part of
the maximum candidature period prescribed for the course.
6) The Leave of Absence can only be allowed up to a minimum of ONE Trimester.
7) Students who are on the barring list are not allowed to apply for Leave of Absence except
under extenuating circumstances approved by the University.
8) Students are not allowed to repeat outstanding units during the Leave of Absence period.
9) Transfer of Fees
a) Application for Leave of Absence received before the 5th week of commencement date:
100% of fees paid would be transferred to the trimester where the student rejoins;
and
Fees transferred will not be refunded where the students withdraw from the
University.
b) There will be no transfer of fees paid if the application for Leave of Absence is received
after 4th week of the commencement date.
Application for Leave of Absence

For Office Use Only
A. Centre for Foundation Studies/Faculty General Office/Institute of Postgraduate Studies and
Research
Date Received: __________________________
In Order: ________________________
Signature: ______________________________
B. Centre for Foundation Studies / Faculty General Office / Institute of Postgraduate Studies and
Research
(i) General Office
(a) Is the application received after the end of Week 10 of Long Trimester OR Week 5 of a Short
Trimester?
YES
NO
(b) Is the student being barred from Trimester Examination?

YES
NO
Where the answer is YES for either (a) and / or (b), the application for Leave of Absence is
automatically disallowed. However, the Dean may approve this application under extenuating
circumstances.
(ii) Approval by Director of Centre for Foundation Studies / Dean of Faculty
Approved
Not Approved
Comments: _____________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
(state the extenuating circumstances)
Signature: ______________________________
Date: __________________________
C. Department of Admissions and Credit Evaluation

Date Received: ___________________________
Signature: _______________________
Action Taken By: _________________________
Date: ___________________________
Signature: _______________________________

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Universiti Tunku Abdul Rahman

Department of Admissions and Credit Evaluation

APPLICATION FOR LEAVE OF ABSENCE

Course of Study: ______________________________

Registration No: __________________

Year Trimester __

(*Please circle whichever is applicable)

(Month and Year): __________________

Policies on Leave of Absence

Application for Leave of Absence

(b) Is the student being barred from Trimester Examination?

C. Department of Admissions and Credit Evaluation

Action Taken By: _________________________

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