Appeal Form for Chemistry Module Tutorial Slot
Name (as shown on
Matriculation Card)
Matriculation ID
Module to appeal (one
form for one module
ONLY)
Email
e.g. WE3, Wed 3 – 4pm
Appealing for the
following tutorial slots:
(list two in order of
preference)
Original tutorial slot
(applicable if you’ve
balloted successfully
for a tutorial slot):
Reason for appeal
(e.g. outbid, clash
with another tutorial
slot)
I have attached a printout of my official timetable to this form.
I understand that the success of my appeal will be based on existing timetable clashes with
other NUS modules I’m taking in the same semester, and subject to the available space in the
tutorial classroom.
_______________________
Date and Time
For Official Use
Time of submission
Date of submission
Initial of Staff
_______________________
Name
_________________________
Signature