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You should complete this form if you want (University of Aberdeen)

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UNIVERSITY OF SUFFOLK
Academic Appeal Form – Formal Stage Page 1 of 7
Version: 4.0 (August 2020)
Owner: Academic Registrar
You should complete this form if you want to formally raise concerns about an academic decision, including your
ratified academic results or any circumstances that you believe may have affected your academic results. If the
issue you are concerned about is more generally related to academic matters but not academic results, you
should use the Student Complaints Procedure (available on MySuffolk and the University of Suffolk website).
Before completing this form and beginning formal procedures, you should first have attempted to resolve the
matter informally (also referred to as early resolution). Support and advice is available from a number of sources
– try speaking to your tutor, personal tutor, or supervisor. Student Services and/or the Students’ Union Advice
Service will also provide confidential and independent advice.
To begin the formal procedure, complete this form as indicated in each section. You will need to provide details
of your attempts at early resolution and attach all evidence relevant to your appeal. If you have any concerns or
queries about filling in the form, the people mentioned above will be pleased to discuss these with you.
SECTION A – YOUR PERSONAL DETAILS
Full Name
Student Number
Preferred address for
postal correspondence
Post Code
Telephone number
Email address
NOTE: Acknowledgement of receipt of your form and any progress updates will be sent to
your University of Suffolk email address, and copied to the address provided above.
If the contact details above are different to those held by the University please update your
contact details as soon as possible on OASIS.
SECTION B – YOUR COURSE DETAILS
School or Partner College/Institution
Course title
Level/Year of study
Full-time or Part-time
ACADEMIC APPEAL FORM
(Formal Stage)
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Formal Stage Page 2 of 7
Version: 4.0 (August 2020)
Owner: Academic Registrar
SECTION C – YOUR APPEAL
C1: What does your appeal relate to? (tick all that apply and provide details below)
A module result (or component thereof)
Required withdrawal from your course
A verdict of, or penalty applied in respect of, academic misconduct
A refusal to permit an extension or deferral in accordance with the Extenuating
Circumstances Policy
Please provide below details of the academic result(s) or decision being appealed
To which pieces of work does the academic result or decision relate? (Please provide
module title and component where appropriate)
What was the submission date/examination date for each piece of work noted above?
On what date did you apply for the extension or deferral of submission (if applicable)?
When were you informed about the academic result or decision?
How were you informed of the academic result or decision?
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Formal Stage Page 3 of 7
Version: 4.0 (August 2020)
Owner: Academic Registrar
C2: What are the grounds for your appeal? (tick all that apply and provide details below)
Procedural irregularity which undermined the validity of the academic result or
decision
Extenuating circumstances where, for good reason, the Assessment Board was not
made aware of a significant factor relating to the assessment of the student when it
made its decision
Please explain below the reason for your appeal (continue overleaf if necessary)
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Formal Stage Page 4 of 7
Version: 4.0 (August 2020)
Owner: Academic Registrar
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Formal Stage Page 5 of 7
Version: 4.0 (August 2020)
Owner: Academic Registrar
C3: What attempts have you made at early resolution?
Please provide below details of the action you have taken to try to resolve your appeal
informally.
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Formal Stage Page 6 of 7
Version: 4.0 (August 2020)
Owner: Academic Registrar
C4: How would you like your appeal to be resolved?
SECTION D – SUPPORTING EVIDENCE
Please list below the evidence you are attaching to support your appeal
NOTE: Your appeal will be considered on paper evidence only so please ensure you submit
all evidence and supporting documentation relevant to your appeal.
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Formal Stage Page 7 of 7
Version: 4.0 (August 2020)
Owner: Academic Registrar
SECTION E – DECLARATION
I confirm that the information given on this form and in supporting documents is true to the
best of my knowledge and belief.
I agree that my appeal may be disclosed to relevant members of the University to the extent
necessary for its consideration.
I authorise the reviewer(s) of this appeal to consider this form and any relevant information
held by the University to the extent necessary for the consideration of my appeal.
Where to submit your formal appeal
Once completed, this form and your supporting evidence should be submitted to the Office
for Student Appeals, Complaints and Conduct (OSACC)
Email: osacc@uos.ac.uk
Post: Office for Student Appeals, Complaints and Conduct
University of Suffolk
Waterfront Building
Neptune Quay
IPSWICH, IP4 1QJ
For more information about academic appeals and how your appeal will be processed,
please see the Academic Appeals Procedure and associated guide on MySuffolk.
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Completed 4 February 2021

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