Tama Campus

Instructor ID

Instructor Name*

Instructor Name (Katakana)

Phone Number （Mobile phone number recommended）*

E-mail address*

Class Cancellation(s) ①

Date of Class Cancellations*

Month ---Jan.Feb.Mar.Apr.May.Jun.Jul.Aug.Sep.Oct.Nov.Dec.　Day ---12345678910111213141516171819202122232425262728293031　Year ---20202021202220232024202520262027202820292030　Day of Week ---Mon.Tue.Wed.Thu.Fri.Sat.

Period of Class Cancellations*

Period 1Period 2Period 3Period 4Period 5Period 6Period 7Other

Reason*

SicknessOfficial Business （Request(s) from public institution(s)）Academic Meeting ※If you are a full-time instructor, please submit a business trip request to your academic department / graduate school section.Primary University Business（Your main university business）Overseas Business Trip ※If you are a full-time instructor, please submit an overseas business trip request to your academic department /graduate school section.Personal Reason(s)OtherHosei University Business