ASSESSMENT REQUEST FOR REVIEW FORM

This form is used when student remains dissatisfied with the decision made after consultation with the lecturer, the student may request a formal review by completing the Assessment Request for Review Form within five (5) working days of receipt of the assignment or examination result.

Formal reviews lodged after five (5) working days will generally not be considered.

For hard copy assignments, students must bring in a copy of their marked assignment when meeting with Student Services.

For examinations, students will be required to book an examination viewing with Student Services (studentservices@aih.nsw.edu.au) prior to completing this form.

Please keep your requests factual and objective, and utilise direct quotation from your paper. Justification for a review should be based on the assessable content of the assessment piece.

For further information Please refer to the Assessment Appeal Policy and associated Procedure available on the Australian Institute of Higher Education website: www.aih.nsw.edu.au

PERSONAL DETAILS

Student ID: *

Title: *

Mr

Ms

Mrs

Other (please specify) Other (please specify)

First name(s): *

Family name: *

Sex: *

Male

Female

Date of birth (dd/mm/yyyy): * +

Phone (home/mobile): *

Email address: *

Full Address: *

City: *

State: *

Post code: *

Country: *

Course: *

UNIT INFORMATION

Unit code: *

Unit name: *

Semester and year this request related to: *

Assessment to review: *

Review justification: *

Please upload a copy of the

original marked assessment.

(if applicable)

Assignment upload:

STUDENT DECLARATION

In case of a hard copy assignment, I have uploaded the original marked copy of the assessment. All other marked assessments will be provided by AIH. I understand that only one review per assessment is permitted and that based on this review my result might be changed and this will be my final result for this assessment.

Student's signature *

clear

Date: *

Privacy: We recommend that you read the AIH's Management of Personal Infomation Policy and associated Procedure published on our website [www.aih.nsw.edu.au]