M.Sc. Software Engineering and Database Technologies / Diploma in Software Engineering Examination Extension Request Form Student Name: Address: E-mail Address: Phone Number: Student ID Number: Module Name: Module Code: Term & Year of Course: Date of Examination: Reason for Extension: (in the section below, please outline the reasons for your request for an examination extension) Request for new submission date: (to be confirmed with your facilitator) I will submit the exam within one week of the final submission deadline. I will be unable to submit the exam within one week of the final submission deadline. Signature: _________________________ Date: _____________ Email to your module facilitator no later than the end of Week 6