Republic of the Philippines
Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF SURIGAO DEL NORTE
AMANDO A. FABIO MEMORIAL NATIONAL HIGH SCHOOL
Sta. Cruz, Placer, Surigao del Norte
STUDENT EXCUSE LETTER FORM
Date: __________________
To: _________________________
Subject Teacher/ Class adviser
Dear Sir/Ma’am,
I respectfully request that my absence on ____________________________ (Date/s of
Absence) be excused.
Reason for absence:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
I understand that I am responsible for completing any missed lessons, activities, quizzes,
or any assignments during my absence.
Thank you for your kind consideration.
Respectfully yours,
____________________________ ___________________________
(Students Name/ Grade & Section) (Students Signature)
______________________________________
Signature of Parent/Guardian above printed name
Contact No.: __________________________
Date Signed: __________________________
For Teachers Use Only
Received by: ______________________
Date received: _____________________
Remarks:
Excused Unexcused
School: Amando A. Fabio Memorial National High School
Address: Sta. Cruz, Placer, Surigao del Norte
Contact #: 0919-869-5071
Email: amandoafabiomnhs@[Link]