a.
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| Samuel Student 123 ABC Street Samsville, ON SOS ___ Email address, fax and/or phone number
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b.
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| November 20, 201_
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c.
| Dr. Jane Skool Associate Dean Faculty of ________________ Western University London, ON N6A ___
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d.
| Subject: Request for Special Examination
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e.
| Dear Dr. Skool:
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f.
| I am writing to request a special examination in Course 020. On December 12, the date of the regularly scheduled exam, I have to appear in court as a witness. I enclose a copy of the court summons. A make-up exam in Course 020 has already been scheduled for January 6.
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f.
| Thank you for taking the time to consider my request. Please contact me by Email or phone if you have any questions.
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g.
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| Yours sincerely, Sam Student
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h.
| | Samuel Student SN 045678900
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j.
| encl. cc: Professor O. Twenty
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