Request for copy of examination script APPLICATION FORM Deadline for applications:

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Request for copy of examination script (Undergraduate)
APPLICATION FORM
Deadline for applications:
Thursday 31 March 2016
*** Please note that NO late application will be accepted. Students who wish to obtain a copy of their
exam script after the above deadline must apply through the FOI procedure.
The scripts contain no comments or other feedback from markers ***
Email this form to law-examscripts@monash.edu with ‘Exam script request’ in the subject line
Please note that you will need to ensure that you have provided your correct student email address and have
sufficient storage space. You will receive an emailed PDF copy of your exam script within a maximum of three
weeks of receipt of application.
1.
APPLICANT DETAILS
Student number:
Name:
Contact phone number:
2.
#
EXAM SCRIPT DETAILS
Unit name
Unit code
Stream
Lecturer
1
2
3
4
3.
DECLARATION
I declare that by submitting this form the information provided is correct and complete. I understand that the copy
of the exam script is for the sole purpose of personal view, and that the final mark has been determined by the
Board of Examiners, taking into account all aspects of the assessment. I acknowledge that there is no
requirement or obligation that feedback will be provided with the copy of the script, or that the mark obtained for
each question or section, or the total exam component, will be provided or shown on the script.
Privacy
The information on this form is collected for the primary purpose of applying for a copy of your exam script, which
includes sending you related correspondence. If you choose not to complete all the questions on this form, it may
not be possible for the Faculty to process your application. If you wish to access or enquire about the handling of
your personal information contact the University Privacy Officer at privacyofficer@adm.monash.edu.au.
Date:
Office use only
Date request received:
Actioned by:
Date copy sent to student:
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