Leave of Absence Application Form

If you have any questions regarding completion of this form, please contact Research Services via email to AskUNE.

Approval for the requested leave of absence must be obtained from your Principal Supervisor prior to lodging this form.

If you are an international student, you must provide:

  • A medical certificate or supporting documentation if requesting a leave of absence based on medical grounds.
  • A statement of support from your Principal Supervisor for all other leave of absence requests.

Required fields are marked with an asterisk (*).

Student Email Address (@myune.edu.au)*

Please enter your @myune.edu.au email address associated with your UNE student number. Staff emails will not be accepted.

Leave of Absence Start Date * Leave of Absence End Date *
Reason(s) for Requested Leave of Absence *

Please provide details for your other reason(s) for requested leave of absence.

Completion Plan

Targets and Milestones Planned Timeframes
Are you a Scholarship holder or Sponsored student? *
Are you applying for Paid Leave? *

Accepted file types: PDF, MS Word Document, JPG, PNG
Maximum file size: 2MB

Are you planning to leave Australia during this leave? *

Please attach documentation to support your request (optional).

Accepted file types: PDF, MS Word Document, JPG, PNG
Maximum file size: 2MB

Principal Supervisor Approval Obtained? * Please attach evidence of the Principal Supervisor approval to this request (above).

The information provided on this application form is being collected to action your request for a Leave of Absence from your HDR Studies. Information collected on this form will adhere to UNE’s Privacy Management Rule. Please visit UNE's Privacy page for more information.

By submitting this form I declare that all information supplied is complete and accurate.