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EMC Application Form

This is an application form for students at Tunku Abdul Rahman University College seeking consideration for being absent or late to an exam due to extenuating circumstances. The form collects the student's details, the course and exam they missed or were late for, and a brief description of the reason for missing or being late. Students must submit relevant documentation within 48 hours and can check a box indicating if they are providing documents. The form is reviewed by the Department of Examinations and Credit Accumulation.
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0% found this document useful (0 votes)
55 views1 page

EMC Application Form

This is an application form for students at Tunku Abdul Rahman University College seeking consideration for being absent or late to an exam due to extenuating circumstances. The form collects the student's details, the course and exam they missed or were late for, and a brief description of the reason for missing or being late. Students must submit relevant documentation within 48 hours and can check a box indicating if they are providing documents. The form is reviewed by the Department of Examinations and Credit Accumulation.
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
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TUNKU ABDUL RAHMAN UNIVERSITY COLLEGE

Department of Examinations and Credit Accumulation

APPLICATION FORM FOR EXTENUATING MITIGATING CIRCUMSTANCES (EXAMINATIONS)

STUDENTS DETAILS
Student Name Registration No.
IC. NO Year and Semester
Programme of Study Session
Address:
Tel. No. (H) (H/P)

*Absent from Examination / Late for Examination


(*Please underline whichever is applicable)
Course Code Description Date of Exam Venue Session
(am/pm/vm)

Reason(s) being absent from examination / late for examination (please give a brief description of the extenuating
circumstances)
______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________
The form should be returned to the Department /Division of Examinations and Credit Accumulation within 48
hours of the affected extenuating circumstances. Students of the Branches are to submit the form and relevant
documents to the respective Branch.

Please tick (√) No document to support my application.


Relevant Document(s) to support my application. (Please indicate)

_________________________________________________________________________

_________________________________________________________________________

Signature: ____________________ ___ Date: ________________________________

For Department / Division of Examinations and Credit Accumulation Use:

Received by: ___________________________ Date: ________________________________

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