I have chickenpox, and the teacher asked me to write a request for leave. How should I write it?

Hello! After reading your description, I have chickenpox, and the teacher asked me to write a request for leave. I can write it like this:

A request for leave

Teacher who respects teaching:

I Due to chickenpox, I cannot go to school now. I have asked the teacher for a week's leave. I would like to ask the teacher for permission. I would be very grateful.

Applicant (signature)

Date XX, June 2016

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I downloaded an art signature software on the Internet, and I want to modify some properties of it into software with my own relevant information, as shown in the following figure:

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