REAPPRAISAL REQUEST FORM
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    NAME ( Last, First ):

    STUDENT NUMBER:

    RETURNED TO CLASS ON:                                    [DD/MM/YY] 

    *** This form must be submitted within a week of the above date ***

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    Give logical reasons for this reappraisal request.


























    I UNDERSTAND THAT THE ENTIRE BODY OF THE ATTACHED TEST OR REPORT MAY
    BE REMARKED AND THAT ITS MARK MAY BECOME HIGHER, LOWER, OR UNCHANGED.


    SIGNATURE   ____________________     DATE (DD/MM/YY) ________________