APPLICATION FOR A SPECIAL EXAM

Application for Special Exam

Law Faculty
This application form must be completed and submitted electronically within 5 working days after the date of the EXAM missed.

We will NOT accept any emailed sick/special exam applications.

Please complete a separate form for each module missed.

NO Late applications will be considered.
Have you written the exam.*

YesNo
Student Number*
SURNAME AND NAME*

SURNAMENAME
Examination Details
Module Applying For *
Module Clashes Only
CAM of Module Applying For (%)*
Date of exam missed / to be missed*

DayMonthYear
Date
Reasons for missing the EXAMINATION*

MedicalSpecial Circumstances / ClashesQuarantine
Medical Certificate *

Cancelof
Proof of the relevant circumstances / exam clashes*

Module
Cancelof
You are not eligible to apply for the special exam.
Should be Empty:

Application for Special Exam