Application Form For Leave Of Absence
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2APPLICATION FORM FOR LEAVE OF ABSENCE
Please complete this form and return it to the school where the application is made.
(A)
Particulars of child
Name:
Gender : Male / Female*
Nationality: Singapore Citizen / Permanent
BC No/NRIC/Entry/Re-Entry Permit*:
Resident*
Date of Birth: Day ______ Month ______ Year ______
School currently attending in Singapore:
Level & Stream:
Year Attending:
Name of School Overseas (if available):
Level:
*Please delete accordingly
(B)
Particulars of Parents
Father
Mother
Name:
NRIC No/Entry/Re-Entry
Permit*:
Nationality:
Occupation:
*Please delete accordingly
(C)
Contact information
Parent’s Contact Details (Compulsory)
Overseas Correspondence Address:
Overseas Tel No:
Overseas Fax No:
Email Address:
Local Contact Details (To be completed ONLY if you wish to direct LOA correspondence to a
local address)
Name of contact person in Singapore:
Singapore Correspondence Address:
Singapore Contact No:
Email Address of contact person:
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