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EXAMINATION APPEAL FORM

(Please read the following instructions before completing this form) INSTRUCTIONS 1. All appeals against examination results shall be made in writing to the Institute within 10 working days from the release of results. Prescribed Examination Appeal Form is obtainable from MDIS Secretariat. 2. A non-refundable fee of $104.00 (Degree) / $52.00 (Pre-degree) per examination paper should accompany such appeal. 3. Candidates will have no access to their examination answer scripts. 4. Only one appeal per examination can be lodged with the Institute. 5. Notification on the outcome of the appeal will be within 4 weeks from the date of appeal. 6. No re-appeals are permitted. 7. No appeal will be accepted for the re-grading of a paper in which the candidate has passed or unless otherwise specified by the university. 8. For Bradford degree programmes, appeals must also be submitted on the University of Bradford Appeal Form. Appeals by students against an aspect of their academic assessment can only be considered on certain grounds (as stated in the University of Bradford Regulations, Section 5.17). N.B.: A belief that your performance in an examination should be reflected in a higher mark is NOT an acceptable basis for an appeal. SECTION A: (To be completed by candidate who appeals)
NAME: ADDRESS: NRIC/PASSPORT NO.:

EMAIL ADDRESS:

CONTACT NO.:

COURSE TITLE (BATCH): MODULE: EXAM DATE:

REASONS FOR APPEAL (DOCUMENTARY EVIDENCE MUST BE ATTACHED)

Signature:

Date:

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SECTION B: (To be completed by Examinations Unit) Admin Fee Paid: YES/NO* Receipt no. / Date: Documents checked and found CORRECT/INCORRECT*

The appeal IS / IS NOT* in line with examination regulations. (* delete where not applicable)
Received by Examination Officer/Executive: Date:

SECTION C: (Comments from Moderator)

Name:

Signature:

Date:

SECTION D: (Decision of Examination Board/University)

Secretary of Exam Board/Exam Unit staff

Date: