Application to Sit Exam(s) at Another Time or Another Location (OOT/OL)

Before completing this application, familiarise yourself with the relevant guidelines. Please pay particular attention to the fees associated with this application.

Applications close 27 January 2023

Contact [email protected] for more information.

-Required fields are marked with an asterisk (*).

Personal Details

Family Name *

First Name *

Student ID Number *

Contact Phone *

Email *

Main Reason for Application

Tick the relevant reason for your application *

Medical
Religious/Cultural
Representing New Zealand
Wedding (immediate relatives or bridal party only)
Examination timetable clashes
Court summons/legal hearings
Compassionate circumstances (death or illness of close relative or other compelling circumstances)
Other

If you have selected Other, provide further details.

Details of travel if applicable

Provide Departure Details

Provide Return Details

Evidence Required

Tick the relevant evidence provided. *

Flight bookings/tickets
Letter of support from religious leader/ coach/ trainer/ health professional/ etc
Evidence of participation in event (wedding party, sporting or cultural activity)
Court summons
Notice of appointment
A signed statement from a relevant third party

Upload the relevant evidence to support your application. *

Exam Details

Paper Code and Course Convenor * Provide the Paper code of your exam and the Course Convenor of the paper.

Date and Time * Provide the date and time of your exam

Paper Code and Course Convenor Provide the Paper code of your exam and the Course Convenor of the paper.

Date and Time Provide the date and time of your exam.

Paper Code and Course Convenor Provide the Paper code of your exam and the Course Convenor of the paper.

Date and Time Provide the date and time of your exam.

Paper Code and Course Convenor Provide the Paper code of your exam and the Course Convenor of the paper.

Date and Time Provide the date and time of your exam.

Personal Statement

Provide further details of your reasons for wanting to change your exam time or location. *

Contact Details for Exams At Another Location

Confirm the venue if you are applying to sit your exam at a location other than our Hamilton or Tauranga Campuses. * This MUST be a Tertiary Institution.

Provide the details of the contact person at the Tertiary Institution. * If you're an athlete: provide the coach or sports manager's contact details.

Confirm who will be supervising your exam at the Tertiary Institution. * This MUST be an academic.

Declaration

I hereby confirm that: * Complete the declaration before submitting your application.

I have read the relevant guidelines to complete this application form.
I accept responsibility for the payment of any charges related to the special arrangements made for my exam(s) as specified in this form.

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Application to Sit Exam(s) at Another Time or Another Location (OOT/OL)

Applications close 27 January 2023