請假申請表格.pdf

人文學院 Faculty of Arts and Humanities 請假申請表格 Leave Application Form 第一部分 Section I 姓名 Name 個人資料（由學生填寫） Personal Particulars (to be completed by student) 中文 Chinese 英文 English □-□□-□□□□-□ 學號 Student No 主修 Major 聯絡電話 Telephone 第二部分 Section II 請假申請詳情 （由學生及有關導師填寫） Leave Application Details (to be completed by student and relevant course lecturers) 缺席日期 由 From Date(s) of leave / / dd/ mm / yyyy 至 To / dd/ mm / yyyy □ 病假 ) Compassionate Leave □ 代表澳門特別行政區或澳門大學參與體育，文化，比賽， □ 其他（請註明） 研討會，會議等活動 Participating in recognized event e.g. representing Macao SAR or UM in sports, cultural events, competition, seminar, conference, etc. *本人附上 *I attach ( □ 恩恤假 Sick Leave 申請原因 Reason for application 總日數 Total number of days / ( ) Others (please specify) __________________________________________________ (如有需要,請另頁書寫 Please use supplementary sheet if necessary) 頁信函及證明文件以支持本人的申請。 page(s) of letters and documents in support of my application. 在下列表格填上已經或將會缺席之科目 List in the table below the classes have been missed or will miss 此欄由導師填寫 To be completed by Course Lecturers 班別 課程名稱 Section Course Title 請選出適用者 導師簽署 Please tick whichever is appropriate Signed by Lecturer 課程編號 Course Code □ Agree 同意 □ 不同意 Disagree □ Agree 同意 □ 不同意 Disagree □ Agree 同意 □ 不同意 Disagree □ Agree 同意 □ 不同意 Disagree □ Agree 同意 □ 不同意 Disagree 同意 Agree □ 不同意 Disagree □ 注意事項 Notes: * 學生必須附交相關信函及證明文件 Students must attach the letters and relevant supporting documents.  如申請不獲批准，學生將於三個工作天內收到通知 Students will be notified within 3 working days if this application is not approved. 本人聲明以上所述資料及相關證明文件，皆屬真實無誤。 I declare that all the information given above and relevant supporting documents enclosed are accurate and complete. 學生簽署: Signature of Student: _____________________________________________ 學院專用 日期: Date: _____________________________________________ For FAH office use only 收件蓋印 Document Received Chop □ 批准 Approve 備註 Remarks : □ 不批准 Disapprove __________________________________________ __________________________________________ ________________________________ 課程主任/部門主管簽名 Signature of Programme Coordinator / Head of Department / / _______________________________________ Informed student on: 學生已獲通知 / / Effective from 15 May 2017 FAH/FORM/002/v001