Nothing Special   »   [go: up one dir, main page]

Request For Exemtion For Training Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

ZSPI ROTC Unit

Revise Form 2/23 Select One: Basic Advance

REQUEST EXEMPTION FOR ROTC TRAINING

Cadet: Complete Section 1 and 2, then sign and route the form for approval (Section 3)

Section 1. COMPLETED BY ROTC CADET (Consult S1 Section if information is unknown)

A. Last Name:____________________________ H. Squad/Section:_________________________


B. First Name:____________________________ I. Platoon:______________________________
C. Middle Name:__________________________ J. Company:_____________________________
D. Course:_______________________________
E. Year:_________________________________
F. Email Address:_________________________
G. Contact Number:_______________________
I. REASON FOR EXEMPTION: Check all that are being requested.
If more that one absent type is being requested, list priority, order of use and number of hours for each type of
absent in Section 2

Completed Basic Military Training (BMT)


Illness (Please submit medical certificate)
Serious Illness (Please submit medical certificate or Hospital Records)
Person with Disability (PWD):
Childbearing Women need maternal care
Illness in the Family. Type
RA 11768 re:SK Exemption NSTP ROTC Training

Section 2. Contact Information and additional information

Contact Number:_______________________ Email Address:__________________________

FB Account Name:_________________________

Section 3. SIGNATURES:
All org must provide signature or initials: APPROVED:
Commandant’s Office
Indorsed by (Coy Cdr) __________________ ________
Signature Date
Noted by (Corps Cdr) __________________ ________
MAJ ELADIO V LUMANTAS JR (CE) PA
Signature Date
ROTC Commandant
Recommending Approval (Chief Clerk) __________________ ________
Signature Date
Section 4. Approved days of Absence (Do not fill up authorized personnel only)

Days of Absent:________ From: ____________________ To:_____________________


MM/DD/YY MM/DD/YY

You might also like