Fillable form will not be accepted by The London (University of Aberdeen)

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form will not be accepted by The London (University of Aberdeen)

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Appeal Application Form (Financial Capability)
For more information regarding the appeals process, please refer to the Appeals policy available here. The fee for this service is £125; this
form will not be accepted by The London Institute of Banking & Finance if it does not include the appropriate fee. If the appeal is upheld,
then no fee will be charged.
Please return this form to fcexams@libf.ac.uk
or to The London Institute of Banking & Finance, 4-9 Burgate Lane, Canterbury, Kent,
CT1 2XJ.
The London Institute of Banking & Finance is a registered charity, incorporated by Royal Charter.
YOUR DETAILS
Centre name _______________________________________________________________________ Centre postcode __________________________________________
Examinations officer name _________________________________________________________ Contact number __________________________________________
SECTION 1 – CENTRE DETAILS
YOUR DETAILS
Student name ______________________________________________________________________ LIBF number _____________________________________________
Qualification ____________________________________________________________________________________________________________________________________
Unit (if applicable) ___________________________________________________________________ Exam session number (if applicable) ____________________
SECTION 2 – STUDENT DETAILS
YOUR DETAILS
Please list any documents you are providing as evidence to support your claim
___________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
SECTION 4 – ACCOMPANYING DOCUMENTS
YOUR DETAILS
I wish to appeal the outcome of:
Result enquiry
n
Special consideration application
n
Reasonable adjustment application
n
Malpractice outcome
n
Other (please specify)
n
______________________________________________________________________________________________
Please provide full details of the circumstances that led to this application.
Please continue on a separate sheet if necessary
SECTION 3 – BASIS FOR APPEAL
YOUR DETAILS
n
I declare that the information contained in this form is true and accurate, consent to the processing and use of personal data as
outlined in the Privacy Notice and accept our terms and conditions.
n
I confirm that I have read the Appeal policy and understand it
Examinations officer signature ______________________________________________________________________ Date ___________________________________
Please note that all unsigned forms will be returned and will result in a delay in the processing of your enquiry.
SECTION 7 – DECLARATION
YOUR DETAILS
We will use and protect your personal data in accordance with current data protection legislation to evaluate your claim. Further details,
including your rights, the disclosure of data to third parties, storage, retention and how to amend your personal data, can be found within
our Privacy Notice (www.libf.ac.uk/privacy)
SECTION 6 – YOUR PERSONAL DATA
LC04/20
YOUR DETAILS
n
I would like the centre to be invoiced for the total amount payable (requires an Examination Officer signature)
Examinations officer signature ______________________________________________________________________ Date ___________________________________
SECTION 5 - PAYMENT DETAILS
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form will not be accepted by The London (University of Aberdeen)

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Completed 4 February 2021

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