Request for exemption
Examining Board Tilburg School of Catholic Theology
Please send this form to the Examining Board of TST: p.o. box 80101, 3508 TC Utrecht, or hand it in at the
education office of TST: Nieuwegracht 61 in Utrecht, or Koopmans building, room K725, Tilburg University, in
Tilburg.
Please submit one form for each course.
If applicable to this application, please add:
- Certified photocopies of relevant diplomas and transcripts
- A review of the studied literature
- An overview of the workload in hours
- Other information that may be relevant for the assessment of your application
Name applicant
Student number
Address (streetname, number,
postal code, town/locality)
Date of application
Exemption is requested
for the following course
Course code
ECTS
Please explain here on what basis
your request is submitted
If you need more space to explain your request, you can do it in an annex.
> The part below is only for the Examining Board
Evaluation request
Date of evaluation
0 Exemption approved
0 Exemption disapproved
Signature of the secretary of the Examining Board of
Tilburg School of Catholic Theology