Scribd
Upload
109 views

Special Consideration Form

Uploaded by

Guanhao Lu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
109 views

Special Consideration Form

Uploaded by

Guanhao Lu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Complete this form + prepare your Medical Certificate or other evidence and email together to [email protected].

au
If your Medical Certificate is not in English you MUST provide a certified translation from an official public notary or use a translation
service like https://www.naati.com.au/
IMPORTANT: Inaccurate or missing information will result in either delayed processing or your request may be denied.

Request for Special Consideration Due to Illness or Misadventure


For FINAL Examinations or Assessment Tasks (only accepted 3 days before and up to 3 days after final exams/assessments)
STUDENT DETAILS: (please use CAPITAL letters)
Student ID Number Date of Birth Are you under 18 years old? ☐ Yes ☐ No
Z5440740 05.10.2002 Are you a sponsored student? ☐ Yes ☐ No
Family Name Given Name
GUANHAO LU
Telephone/Mobile Email
+86 15088915996 [email protected]
ENROLMENT DETAILS:
☐ Foundation Studies ☐ Academic English Programs ☐ UNSW Diploma Programs

DPBSE1110 Term 2 9556


Course (eg: Standard / Std Plus / Diploma / UEEC10 Intake/Term/Year (eg: A Standard or Diploma Term 2) Class Group (eg. AL4, DPST109, UEEC10-13)

WHAT DATES DO YOU REQUIRE SPECIAL CONSIDERATION?


From 2.24 To 2.27 Number of days 5 Do you have a Medical Certificate? no

REASON FOR SPECIAL CONSIDERATION (eg. illness, technical issue, family crisis. Write as much as possible)
I lost my EU identification last few months, so I need to apply for a new Visa and go to Spanish Embassy. I told my lawyer to
send the request which is next week. But the Spanish Embassy asked me to go to Shanghai tomorrow, otherwise, I will miss this
opportunity to get my visa thus I cannot get my EU identification anymore. I have to deal with notarization today and go to
their department to send my document and also translate my document today. Therefore, I think I might not have time to finish
assessment 2a.

WHAT WAS AFFECTED: (please tick appropriate box)


☐ My attendance at Exam Name Subject: Exam Date
FINAL / END OF TERM EXAM
My performance at
☐ FINAL/ END OF TERM EXAM Exam Name Subject: Exam Date

Subject: DPBS1110 Assessment Name: Assessment 2a: Case Briefing Pack


☐ Assessment (e.g. quiz/project/lab)
■

Submission Due Date 2.24Friday Did you submit: no

SUPPORTING EVIDENCE
Requests for Special Consideration should include medical evidence or supporting documents translated into English.
Please tick which evidence you will provide with your form:
Medical Certificate ■ Screenshots Other evidence

DECLARATION:
I understand that this is an explanation of illness/misadventure affecting my final examinations or assessments and that
I will be informed of the outcome by the Assessments Coordinator or a member of the Academic staff.

22.2.2023
________________________________________________________________________________________________
STUDENT MUST SIGN ABOVE Date of Request

UNSW Global Pty Limited Building L5, UNSW Sydney Campus, 223 Anzac Parade, Kensington NSW 2033 Australia
T: +61 (2) 8936 2222 | E: [email protected] | W: unswglobal.unsw.edu.au
UNSW Global Pty Limited (ABN 62 086 418 582) is a not-for-profit provider of education services and a wholly owned subsidiary of UNSW Sydney. UNSW Global delivers
English language programs under its CRICOS Provider Code 01020K. UNSW Global delivers Diploma and Foundation Studies programs under UNSW Sydney’s CRICOS
Provider Code 00098G. See UNSW Global CRICOS Course Codes at unswglobal.unsw.edu.au/esos Copyright © 2022 UNSW Global Pty Limited. Updated January 2022

You might also like