The University of Northampton, Student Administration and Services
Authorised Absence Request Form
Students should refer to the Authorised Absence Policy before completing this form.
Completed forms should be submitted by email to [email protected]
We do not recommend that students book any travel arrangements not until their
absence has been approved.
If you are travelling overseas and require a visa for the destination that you are applying
to we will write your Travel Abroad Letter.
Section A – To be completed by the Student
Student Number: Student Name:
22828160 Mubashar Hussain
Period of Proposed Absence From: To:
02 / 11/ 2024 08 / 11 / 2024
Embassy Name and Address:
Embassy of Greece in London 1A Holland park, London w113tp UK
Reason for absence:
This is to inform you that my friend is going GREECE on group holidays to
and I want to go with him in from 02th November 2024 to 08th
November2024. I don’t have any class during this week.
For this, please allow me by signing this authorized absent request form. I will
be very grateful.
Please read and sign the following declaration
I confirm that I have considered the impact this absence will have upon my studies at
the University of Northampton and have actively planned how I will meet deadlines
upon my return.
I understand that this request is only classed as “authorised” if it is approved by both
my Programme Leader and a member of ISSS.
I understand that this absence alone will not be considered grounds when applying
for mitigating circumstances, extension or other academic appeal.
Student Signature…Mubashar Hussain……………………………………………
Section B – To be completed by the student’s Programme Leader
I confirm that the above named student’s academic progress
as well as level of engagement with their course to date is Yes
acceptable
I confirm that I have spoken with the above named student
and made any additional arrangements necessary to give
them the opportunity to catch up with work missed during Yes
their absence.
Please detail additional arrangements agreed for assignment submissions,
assessments/examinations and placements:
No assessments, but please keep on top of any reading and upcoming submission
dates post returning.
Keep in contact with your PAT if there are any issues or problems.
I confirm that I approve (please circle) this student’s request for authorised absence.
Name: Dean Brookes
Signature:
Section C – To be completed by ISSS
I confirm that the above named student has provided
sufficient evidence to support their application Yes / No
I confirm that I have spoken with the above named student
and explained the implications this absence will have on their Yes / No
Student visa.
Please detail arrangements agreed with the student regarding their return to studies
(e.g. flight tickets / meeting with ISS on return):
I confirm that I approve / do not approve (please circle) this student’s request for
authorised absence.
Name: Date:
