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Application for Special Consideration due to serious illness, injury or misadventure

THIS FORM SHOULD BE SUBMITTED AS SOON AS PRACTICABLE AND CERTAINLY WITHIN FIVE WORKING DAYS FROM THE END OF THE PERIOD FOR WHICH CONSIDERATION IS SOUGHT.

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Dates

 

Period for which special consideration is sought.

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Contact Details

 
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Course

 

Indicate work for which special consideration is requested, including relevant due dates.

Please note: only Pharmacy units of study can be entered in this form. For other units of study please consult the relevant Faculty.

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Student’s Consent

 
 
 


PLEASE MAKE SURE YOU CLICK SUBMIT AGAIN AT THE BOTTOM OF THE CONFIRMATION PAGE AFTER REVIEWING YOUR INFORMATION.