Request for a Review of an Assessment Board Decision (Academic Appeal)

To:

Regulations, Assessment & Awards Unit, 12 Brick Lane, Whitechapel, London, E1 6RF, UK

All boxes must be completed and all relevant evidence attached in order for this appeal to be
considered.
1. Grounds for an Appeal:
There were procedural errors or irregularities during the recording, transcription and/or
reporting of results
There were exceptional personal circumstances which could have affected the students
performance adversely, which for good and reasonable cause had not been submitted
in accordance with the extenuating circumstances procedure;
There were defects or irregularities in the application of the assessment regulations or
in the written instructions or advice provided in respect of those regulations which has
negatively impacted on the assessment outcome
In the case of a student whose thesis has been examined for the degree of PhD or
MPhil, there were defects or irregularities in the constitution of the viva Panel and there
was good and reasonable cause why this had not been reported by the student prior to
the decision of the Assessment Board.
2. The following are not Grounds for an Appeal:
Disagreement with the academic judgement of an Assessment Board in confirming
marks, grades for individual assessments and recommendations of examiners
Extenuating Circumstances claims which could have been made in accordance with the
Extenuating Circumstances Procedure and there is no good or reasonable cause why
that procedure was not used at the appropriate time
Appeals which are not supported by appropriate evidence, are received outside the
deadline without good or reasonable cause or are of a vexatious or frivolous nature.
3. Students who are requesting a review of an Assessment Board decision are advised to ensure
that they state clearly the decision against which they are appealing and the grounds for their
appeal. Appropriate supporting documentation should be provided by the student.

SECTION 1 STUDENT DETAILS

Full Name

Student No.

Address(at which you can be contacted over the next two months)

Post Code:
e-mail address (at which you can be contacted over the next two months)

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Appeal Form

Request for a Review of an Assessment Board Decision (Academic Appeal)

Full Title of Programme of Study for which you are registered
Year of Programme

SECTION 2 ASSESSMENT BOARD DECISION APPEALED AGAINST

Please state clearly the decision of the Assessment Board against which you wish
Appeal.

SECTION 3 GROUNDS FOR APPEAL

On What Grounds do you wish to appeal?(You may tick more than one box.)

There were procedural errors or irregularities during the recording,

transcription and reporting of results. (Complete Section 4)

There were exceptional personal circumstances which could have affected

yourperformance adversely, which for good and reasonable cause had not
been submitted in accordance with the extenuating circumstances
procedure. (Complete Section 5)

There were defects or irregularities in the application of the assessment

regulations or in the written instructions or advice provided in respect of
those regulations which have negatively impacted on the assessment
outcome
(Complete Section 6)

In the case of a student whose thesis has been examined for the degree of
PhD or MPhil, there were defects or irregularities in the constitution of the
viva Panel and there was good and reasonable cause why this had not been
reported by the student prior to the decision of the Assessment Board.
(Complete Section 7)

SECTION 4 PROCEDURAL ERRORS OR IRREGULARITIES

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Appeal Form

Request for a Review of an Assessment Board Decision (Academic Appeal)

Please give full details of the facts and circumstances of your appeal if you are appealing on
these grounds.

SECTION 5 EXCEPTIONAL PERSONAL CIRCUMSTANCES

Please give full details of the facts and circumstances of your appeal if you are appealing on
these grounds and provide supporting documentation.

SECTION 6 DEFECTS OR IRREGULARITIES IN ASSESSMENT

Please give full details of the facts and circumstances of your appeal if you are appealing on
these grounds and provide supporting documentation.

SECTION 7 DEFECTS OR IRREGULARITIES IN THE VIVA PANEL

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Appeal Form

Request for a Review of an Assessment Board Decision (Academic Appeal)

Please give full details of the facts and circumstances of your appeal if you are appealing on
these grounds and provide supporting documentation.

SECTION 8 FURTHER EXPLANATION OF GROUNDS OF APPEAL

If necessary you may provide further information in support of your appeal.

Please continue on a separate sheet if you need to provide any further information.

SECTION 9 OUTCOME SOUGHT

What outcome do you want from the appeal procedure?

SECTION 10 DOCUMENTATION ATTACHED

I attach the following documentation to support my appeal. (Please list the evidence enclosed)
1. ____________________________________________________
2. ____________________________________________________
3. ____________________________________________________

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Appeal Form

Request for a Review of an Assessment Board Decision (Academic Appeal)

SECTION 11 DECLARATION
I declare to the best of my knowledge that all of the information I have supplied is true,
accurate and complete. I understand that:
The MABM will need to decide whether my appeal is eligible
The MABM will send a copy of this form and of the information and evidence I provide
to members of academic staff involved or named in the appeal
I give my consent for this information to be used for the purpose of investigating my appeal.
Signature of Student :________________________________

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Date:___________________

Appeal Form