Leave of Absence Request (N3 and above)
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I read and agree to the conditions stated in the Leave of Absence Rules (N4 and above).
 *
Required
Name *
Gmail (JLRC Portal Login Email) *
Class Name *
(Example: N524SS1, N524SM1)
Leave Period (from) *
MM
/
DD
/
YYYY
Leave Period (to) *
MM
/
DD
/
YYYY
Reasons for leave *
Please describe your reasons as specifically as possible. (We might not accept your request if the reasons are not clear)
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This form was created inside of Japanese Language Research Center Inc..