UNIVERSITY OF THE WITWATERSRAND, JOHANNESBURG
SCHOOL OF COMPUTER SCIENCE & APPLIED MATHEMATICS
MISSED WORK FORM
2023
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The School Policy is that a student should complete all assigned work, or else be given a mark of 0% for any work that is missed.
Please attach supporting documentation: medical certificate for deferment on medical reasons, death certificate, affidavit, etc.
If you have none of these, attach a letter of motivation or any other relevant documentation.
All submissions should be made through the lecturers specified channel within three working days of the missed assessment.
In exceptional cases, a student will be excused, or required to complete other work to make up for the missing work. The onus
is on the student to put forward a case as to why the School should consider doing so.
SECTION A: Student Details
First Name
Surname
Student Number
Cell Phone
Number
Degree
Year of Study
(Mark with an X)
1st
2nd
3rd
MSc
Hons CWRR
SECTION B: Details of Missed Assessment
Assessment
Missed
Test
Lab
Quiz
Assignment
(Mark with an X)
Course/Module
Code
Course/Module Name
Project
Other
(Specify)
(Due) Date of Assessment
SECTION C: Motivation
Reason for
Application
(e.g.) Illness, Death in
the Family, etc.
Brief Detailed
Motivation
SECTION D: Student Declaration
Declaration
I, the undersigned, hereby declare that the information supplied on this form is correct.
I further acknowledge that penalties will apply as set out in the Course Outline/Course Information
Booklet, and/or General Undergraduate/Postgraduate Course Outlines. Giving false or misleading
information may result in the School taking disciplinary action against me as per the University Rules.
Student
Signature
Date
SECTION E: For OFFICE USE Only
Decision
Approve
Reject
New Assessment
Yes
No
(Due) Date of
New
Assessment
Lecturer
Signature
Date
Administrator
Signature
Date