Academic Appeal Form
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 any supporting
documentation /evidence.
Email the form to:
[email protected]
Or post it to :
Director of Academic Quality and Development
University of Winchester, Sparkford Road, Winchester, SO22 4NR
Deadline:
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
Student no.
(please print)
Email Address:
Date of the letter confirming the decision of the Exam
Board/Research Degrees Quality Committee:
The deadline for submitting appeals is 15 working days
after the date of the above letter. If you are submitting
this appeal form after the deadline for a particular
reason, please note it here:
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) English Literature & Drama, MA History)
Location of study (ie University of Winchester or name
of Collaborative Partner Institution)
Academic Appeal Form
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ACADEMIC APPEAL FORM
Have you read and consulted a copy of the Academic Appeals Regulations 2016-17
(Revised May 2017)?
Yes / No
Have you read a copy of the Academic Appeals Guidance Leaflet
Yes / No
Specify the decision of the Examination Board/Research Degrees Quality Committee against which you
are appealing (eg fail and repeat by part time study, withdrawn and given an exit qualification)
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
Academic Appeal Form
Date
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ACADEMIC APPEAL FORM
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.
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
[email protected]
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
a)
b)
c)
Academic Appeal Form
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