Nov 2021 SL/CT
Application for Extension on Assignment
This form is to be used by students who believe they have exceptional circumstances for why their assignment task willl be late.
Normal occupational commitments and extracurricular activities are not accepted as grounds for granting extra time because
you are expected to plan effectively.
For more information, see: Can I get an extension for my assignment?
Section A: STUDENT AND COURSE DETAILS - ALL FIELDS AND QUESTIONS TO BE ANSWERED
Student Number
First Name Surname
Unit Details
Unit Code Unit Title
Assignment
Due Date
Reason for extension reqeust:
I have attached supporting documentation and/or evidence which may support your request.
Students
Signature
Date
COMPLETED FORM IS TO BE SUBMITTED TO THE UNIT COORDINAOR
AUTHORISATION
Outcome
Extension Granted
New Due Date
Extension Declined
Date Student Advised
Reason request was declined:
Authoriser’s
Signature
Date
Authoriser’s
Name
THIS FORM IS TO BE RETAINED BY THE SCHOOL AND A COPY IS TO BE SENT TO THE STUDENT