MANCHESTER METROPOLITAN UNIVERSITY
Academic Appeals Form
Please read the guidance notes before completing this
form:
www.mmu.ac.uk/sas/studentservices/appeals/index.php
This form, along with all necessary documentary evidence, should be submitted to a Student Hub who
will provide an envelope, and give you a receipt. Make sure you complete the checklist at the end of
the form and take it with you (or attach it to your own envelope). Alternatively you can email the form
in to your Student Hub. Contact details for the Student Hubs can be found at
www.mmu.ac.uk/students/hubs/
1. Personal Details
Mr / Ms
Name:
MMU ID:
Programme Title:
Address (Please do not give an address you might be moving from in the near future):
Contact Phone Number:
Preferred Email Address:
(Please note – all communication about your appeal will be sent by email)
2. Disability, Specific Learning Difficulties or Long-term Health
Conditions
Are you Disabled or do you have a Specific Learning Difficulty (such as Dyslexia) or a long-term
health condition that you believe is relevant to your appeal? (Please select one of options):
☐
No, I do not – Proceed to section 3
☐
Yes - Please give further details below:
3. What Are Your Grounds for Review?
Appeals can only be granted on the following grounds
1.
Performance in assessment was affected by exceptional factors which could not be
notified to the Board of Examiners prior to its meeting.
2.
There has been a material irregularity in the assessment which casts reasonable
doubt on the validity of the result. You will need to explain what material
irregularity has occurred and how it has affected your assessment.
3.
Please tick
PhD, MPhil and Masters by Research: There has been bias or inadequacy in
the assessment of the work by the examiners.
4. Supporting Information
4.1 – Which Units and Assessments Were Affected?
Unit Name and Code (You can find this on
Assessment(s)
your results letter)
4.2 – What Remedy Are You Seeking?
Please read the “What if My Appeal is Successful?” section of the guidance notes for information on
possible remedies.
4.3 – What evidence have you included?
 Please list all the supporting evidence you have included with your appeal.
 Remember to include a copy of your most recent results letter
 Guidance on the types of evidence needed to support your appeal can be found in the
guidance notes.
4.4 – Supporting Statement
 You will need to explain the reasons for your appeal and how the difficulties you have
identified affected your assessments.
 Continue on a separate sheet if necessary.
5. Certification of Form
(a) Confidentiality
In accordance with the Data Protection Act 1998, we are required to gain your consent to the:

hold some elements of the information you have provided on an electronic database;
disclose the information to authorised members of the University staff for purposes connected
with the investigation of your case
(b) False Claims
Submission of false or fraudulent documentation is an academic offence, which will be dealt with under
the University’s Student Code of Conduct. The University reserves the right to check on the validity of
the document(s) submitted by contacting the third party directly.
By signing here, you confirm that you agree with the above statements and indicate your consent for
the information provided to be used as detailed above.
Signed_____________________________________________Date____________________
ACADEMIC APPEALS - Checklist
Please use this checklist to submit your fully
completed Appeals Form and supporting evidence
to the Student Hub at your own Faculty/Campus.
Name (block capitals):____________________________________
Student ID Number:- ___________
Programme:- _________________________
It is your responsibility to state
your case fully and clearly.
The Appeal Panel will make its
decision on the papers you
submit. Missing papers or
incomplete material will not
be chased up.
Have you included the required information? Tick this checklist.
1.
Have you completed sections 1 to 5 of the form?
3.
Have you attached appropriate documentary evidence about your appeal (e.g. Doctor’s
letters or other evidence of exceptional factors)?
4.
Have you attached a copy of your results letter?
5.
If you believe the regulations, or other guidance, has been wrongly applied have you
attached a copy of the relevant regulations?
6.
Have you taken a copy of everything for your records?
7.
Please list the documentation you have submitted:
NOW SUBMIT THIS TO YOUR FACULTY STUDENT HUB. CHECK WITH YOUR STUDENT HUB
OR THE STUDENTS’ UNION ADVICE CENTRE IF YOU ARE UNSURE ABOUT ANYTHING.
Stamp:
For Office Use Only
Receipt issued date………………Staff initials ………………………
Database input date……………..Staff initials……………………….
Tick Here