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Leave of Absence Request Form for International Undergraduate Students
Student information
Student number:
*
First Name:
*
Last Name:
*
uOttawa email address:
*
Request details
Please note that a leave of absence can only be approved for a maximum of one term at a time.
Reason for leave request:
*
Select
Medical reasons or pregnancy
Family emergency
Death or serious illness of a family member
Mandatory military service
Parental leave
Other exceptional circumstances
Start date of the leave
*
End date of the leave :
*
Please explain the reason for your request :
*
Intended place of residence during the authorized leave :
*
Select
I will remain in Canada
I will leave Canada
I am not sure yet
Supporting documents
Please attach any documents relevant to your request. Ensure that each file name does not contain any of the following invalid characters: < > : " / \ | ? *
Document (max file size: 2 Mb):
*
Accepted formats: jpg, jpeg, png, doc, docx, pdf.
Choose file
Chosen file:
Document (max file size: 2 Mb):
Accepted formats: jpg, jpeg, png, doc, docx, pdf.
Choose file
Chosen file:
Document (max file size: 2 Mb):
Accepted formats: jpg, jpeg, png, doc, docx, pdf.
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Chosen file:
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