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Appeal for the Examination Appeals Board
Date:
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dd/mm/yyyy
Study programme:
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Academy:
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First name:
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Surname prefix:
Surname:
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ID code:
*
E-mail:
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Telephone number:
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Description of the decision against which you wish to appeal, including your arguments as to why you feel the decision was wrong.
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Who made the decision against which you wish to appeal?
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What action have you already taken? Please also mention whether or not you have obtained advice from a student counsellor.
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Have you already contacted a staff member responsible? If so, please state his or her name here.
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Please attach the document which contains the decision against which you wish to appeal.
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Do you want to attach / upload another document?
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< Please make a choice >
Yes
No
Add an extra document
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The Examination Appeals Board would like to handle all correspondence regarding this appeal via the e-mail address you provided.
Do you agree with this?
*
Yes
No
If you disagree with this, all correspondence will be handled on paper and via ordinary mail.
*
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Let op dat het document niet groter is dan 12,5MB wat je wilt toevoegen