EXTENUATING

CIRCUMSTANCES
APPLICATION
Please ensure you read the guidance notes on sharepoint before completing this form.
ALL SECTIONS MUST BE COMPLETED.
Failure to complete all sections will result in the form not being processed.
Forms submitted without relevant evidence will not be accepted.

SECTION 1: PERSONAL DETAILS

TITLE: Mr / Mrs / Miss / Ms / Mx / Other (Please
specify): Mr Surname: Antonio
First names(s): Jolo
Student
Date of birth (dd/mm/yyyy): 12/10/2000 number: 96790219

96790219@rave.ac.u Contact
Rave Email:
Number: 07708049289
k
Level
Course: Digital Film Production of 4 5 6 7
Study
SECTION 2: UNIT DETAILS - Please state all units and assignments affected. You can find this
information on the project brief published on Aula.

Unit Code Unit Title Deadline

Y3 C18301 Dissertation 21-22 12/01/2022

SECTION 3: DETAILS OF CIRCUMSTANCES (Please state the dates that were affected, what has happened
and how it has affected your submission. Please outline if you are seeking an extension of 5 working days or the
maximum period via a retrieval task (new submission date).)
Dates that were affected:
20/11/2021 – 04/02/2022

During these times, I’ve been working more shifts to be able to pay an impound and
driving offence fine with a total fine of £600. Working in the daytime for my courses
and working late night shifts with the addition of the pressure to pay my fines on
their deadlines and extended deadlines caused a burnout and lack of motivation. I
could confront the challenges of continuing my work and decided to focus on paying
my fines to avoid court proceedings. Other domestic issues were involved that I’ve
confronted the Vice President of the student union about but who kindly suggested to
have a talk with Student Services who could help me with issues I could be going
through but I still have to take action.

Extension Request:
12/01/2022 (given deadline) – 17/01/2022 (extension request)
I am asking for a 5-day extension, however, if there is a possibility to receive the
maximum period then I would like to opt for that.

SECTION 4: EVIDENCE (Please list the evidence which you are submitting to support your application.
Applications without relevant supporting evidence will be declined.)

SECTION 5: CONFIRMATION
I confirm by signing below that the information on this form and the supporting evidence is genuine and true to
the best of my knowledge.

Student Signature: Date:

We will be sharing this information with our student services team, to ensure that you are being provided
with the most appropriate support during your time at Ravensbourne. If you do not wish for your details
to be shared please check this box.

Once the form is complete you must email it to

extenuatingcircumstances@rave.ac.uk,

STAFF USE ONLY:

Received by: Date
:
Processed Date
by: :
STAFF USE ONLY:
Received by: Date
:
Processed Date
by: :