University Of Cape Town Dp Certificate Form

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UNIVERSITY OF CAPE TOWN
DEFERRED EXAMINATION APPLICATION FORM
NB: PLEASE return the completed form to: Student Records Office, Level 4, Masingene Building,
Middle Campus - Attention: Vanessa Chitter
email:
vanessa.chitter@uct.ac.za
Tel: (021)650-4637
ALL DEFERRED EXAMINATION APPLICATIONS MUST BE SUBMITTED WITHIN 7 DAYS
OF THE DATE OF WHICH THE STUDENT DID NOT WRITE THE EXAMINATION
SCHEDULED
REFER TO HANDBOOK 3 – General Rules and Policies on Deferred and Supplementary
1.
Examinations on the UCT website under the following link:
G27.1 “Senate may allow a student to write a deferred examination where he or she is
unable to write a final examination for medical reasons, or has religious objections, or
political objections or other good cause for not writing on the scheduled day or days.”
Therefore if the reason for deferment is not MEDICAL the student must provide appropriate
substantiating documentation. For more information please contact Vanessa Chitter.
3.
If the student is unable to submit the application himself/herself please notify
via email of the third party person’s details of who will be
vanessa.chitter@uct.ac.za
submitting the application on their behalf.
(a) Tick which is appropriate:
a.
I am under 18 and agree that information may at UCT's discretion be released to my parent/guardian.
b.
I am over 18 and understand my medical and personal circumstances will not be discussed with my parents.
NAME: _____________________
SIGNATURE: ______________________ DATE: ____________
THIRD PARTY:
THIS SECTION IS TO BE COMPLETED ONLY IF SOMEONE ELSE IS
COMPLETING AND SUBMITTING THE APPLICATION ON BEHALF OF THE STUDENT:
Third party name and surname: …………………………………………………………………………………...
Relation to the student: …………..………………………………………………………………………………..
Contact details: …………………………………………………………………………………………………….
Email address: ……………………………………………………………………………………………………..
For queries about deferred examinations contact Vanessa Chitter:
Email address:
vanessa.chitter@uct.ac.za
Telephone number: (021)650-4637
Please note: You will be informed via E-MAIL not later than two weeks of the outcome of the application,
so please check your student email account for correspondence
1

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