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E-AR 09-03-FO-28 rev.02 063016 Registrar s Copy Colegio de San Juan de Letran Calamba City of Calamba Laguna REGISTRAR S DEPARTMENT College Records Office LEAVE OF ABSENCE LOA FORM st LAST NAME FIRST NAME MIDDLE NAME nd TERM 1 2 Summer A. Request for extension is valid only for one semester. 2. Attach a photocopy of any valid ID of your parent. EMAIL ADD REASON/S FOR APPLYING Student s Signature over Printed Name Noted by Dean s Date Parent s ACTION TAKEN Approved by Encoded by Records...
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The purpose of registrar's copy is to maintain an official record of the document for reference and verification purposes.
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