Unicaf - LJMU - Extenuating Circumstances Form

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LIVERPOOL JOHN MOORES UNIVERSITY

Application for Extenuating Circumstances

Student details
R2302D16116404
Student number:
Mariam Said Mohamed Fouad Atta
Name

Extenuating Circumstances
Request
(please tick the appropriate request)
Extensio y Personal
n e Circumstanc
s
es
Students may submit claims for extensions to Students may submit claims for deferral of submission
assessment submission deadlines on the basis of assessment on the basis of serious, exceptional and
of illness or other verifiable cause. The maximum unforeseen factors whereby an extension is not
length of an extension is 10 working days. possible or appropriate.

Assessment details
(Please list the assessment(s) for which you are requesting extenuating circumstances, the existing
deadline and the new deadline being requested). Where an extension is being requested, students
should ensure to submit by the new date being requested and not wait for the decision of their
claim to be communicated before going ahead with their submission(s).
Module Assessment Submission date New date being
Title/Code component requested
Leading Effective 26th of May 3rd of June
Teams
LJMU-7503-MALED-
63358

Grounds for extenuating circumstances


(Please select the grounds on which you are applying for extenuating circumstances. All claims must be
substantiated by independent evidence)

Y significant short-term illness, accident or injury


the death or serious illness of a close family member or dependent
significant adverse personal or family circumstances directly affecting
you
other significant exceptional factors for which there is evidence of stress caused
Detail of the I was working in Uzbekistan and my flight date was the 16th of June, however, it was
extenuating changed to the 25th of May. Therefore, I spent the last two weeks preparing for my
flight. I arrived on the 26th of May, which was the last day of submission.
circumstance
Timeframe/date of 14 – 26 of May
the circumstance

Explanation of how I had to prepare for moving back to Egypt. My flight details are as
the circumstance follows: Tashkent, Uzbekistan to Istanbul, Turkey, and then 6 hours
affected your ability transit, afterwards, Istanbul to Alexandria, Egypt. This was very
to engage exhausting and I slept for almost a week after my arrival.

Supporting evidence (where needed)

Please list the My flight tickets; the old one with the old date and the new one.
evidence that you are
providing to support
your request (e.g.
medical certificate,
police report of
incident)

Student signature (typed is ok if submitted by email): Mariam Said Mohamed

This form must be submitted by email to extenuating.circumstances@unicaf.org along with


any supporting evidence. The decision as to whether or not your request has been
approved will be emailed to you within five working days.

Where an extension is being requested, students should ensure to submit by the


new date being requested and not wait for the decision of their claim to be
communicated before going ahead with their submission(s).
For office use only

Date form received:

Date of panel meeting:

Panel Decision
Approve Reject

If not approved, reason


for rejection:

Date student notified


of outcome:

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