An appeal may only be submitted in relation to the final decision of a Faculty Exam Board or Research
Degrees Quality Committee regarding progression, award or termination of registration (for taught modules/programmes) or regarding upgrade, transition, award or termination of registration (for students working on a postgraduate research Thesis). Appeals regarding provisional results shall not be considered
(ie marks returned during the course of an academic year).
Instructions for Completion
Please complete this form, including the Statement of Appeal, electronically and attach: a) a copy of the letter confirming the decision of the Exam Board/ Research Degrees Quality
Committee; and b) any supporting documentation/evidence
Send the form to: Director of Academic Quality and Development
University of Winchester, Sparkford Road, Winchester, SO22 4NR
Or email to:
Deadline: appeals@winchester.ac.uk
within 15 working days of the date of the letter from the Exam Board or Examination,
Transition or Upgrade Viva. (Please refer to the letter from the Exam Board or
Research Degrees Quality Committee/RKE Centre for confirmation of the date).
Full Name
(please print)
Student no.
Email Address:
Postal Address
(Correspondence will normally be by email but it may be necessary to send some things by post)
Programme (including subjects)
(eg BA(Hons) in English & Psychology, MA in Accounting)
Location of study (ie University of Winchester or name of Collaborative Partner Institution)
Academic Appeal Form 2015-16 Page 1 of 3

ACADEMIC APPEAL FORM
Have you read and consulted a copy of the Academic Appeals Regulations 2015-16? Yes / No
Specify the decision of the Examination Board/Research Degrees Quality Committee against which you are appealing (eg award of Third Class Honours, Fail and withdraw)
Specify the grounds (as stated in the Academic Appeal Regulations) under which you are making this
appeal
(Please indicate all grounds that apply) a) There exist extenuating circumstances, affecting the student’s performance, of which the
Faculty Exam Board, Research Degrees Quality Committee or Panel of Examiners/Assessors was not aware when it took its decision and which the student was unable or unwilling to bring to the attention of the Faculty Exam Board, Research Degrees Quality Committee or Panel of
Examiners/Assessors in advance.
(NB: The Extenuating Circumstances Policy makes clear that students should inform the University or partner if they have extenuating circumstances affecting their performance at the time, so appellants shall be required to submit compelling evidence in their Appeal Statement explaining why they did not follow the Policy.) b) The University did not follow its regulations, policies or processes and this procedural irregularity, which as a result has disadvantaged the appellant, was significant enough to have materially affected the decision made, rendering it unsound. c) There is evidence of prejudice or bias on the part of one or more of the examiners.
What would you wish the outcome of your appeal to be?
(eg permission to retake/repeat assessments or year of study. Please note that this will be taken into consideration, if your appeal is upheld, but there is no guarantee that this will be the outcome.)
In signing this form, I certify that the information given on this form, in the Statement of Appeal below and in the supporting documentation and evidence is correct, to the best of my knowledge, and I understand that appropriate staff will have access to the information provided on this form and in any supporting documentation.
Signature Date
STATEMENT OF APPEAL
Please set out, in full, the grounds and nature of your appeal.
In completing this form, electronically, the space below will expand to fit your requirements. If you would prefer to type your statement on a separate page, please feel free to do so and submit it with this form.
Academic Appeal Form 2015-16 Page 2 of 3

ACADEMIC APPEAL FORM a) b) c)
Supporting Evidence
All documentation to support your appeal should be submitted with this form. If the evidence is not immediately available, please indicate when you will be able to submit it and the reason for the delay.
Please note that all supporting evidence must be in English. If this presents any problems, please seek advice from appeals@winchester.ac.uk
Please itemise each piece of evidence submitted below and write the corresponding number on the actual evidence for ease of reference.
Please ensure that the identity, status and relationship of each witness providing a written statement is clearly and correctly stated below
Remember to include a copy of the letter confirming the decision of the Exam Board/ Research Degrees Quality
Committee/RKE Centre as one of the documents of supporting evidence
Academic Appeal Form 2015-16 Page 3 of 3