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Special Letter

This document contains an application form for a student to defer examinations at the Local Government Training Institute. The form requests the student's details, the module codes and names of exams to be deferred, the reason for deferring (medical, social, or sponsorship problems), a brief statement of reasons, and the expected year/semester to sit for the deferred exams. The student must attach the original receipt for the fee paid to defer exams. The form is then submitted to heads of department and dean of students for recommendation, and the decision committee for final approval or non-approval of the deferral request.

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28 views3 pages

Special Letter

This document contains an application form for a student to defer examinations at the Local Government Training Institute. The form requests the student's details, the module codes and names of exams to be deferred, the reason for deferring (medical, social, or sponsorship problems), a brief statement of reasons, and the expected year/semester to sit for the deferred exams. The student must attach the original receipt for the fee paid to defer exams. The form is then submitted to heads of department and dean of students for recommendation, and the decision committee for final approval or non-approval of the deferral request.

Uploaded by

mazurimadezi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LOCAL GOVERNMENT TRAINING INSTITUTE

APPLICATION FOR SPECIAL EXAMINATION

This is made under rule (ix) of the Institute’s Examination Regulations.

This form must be filled by student (s) wishing to defer Examination (s) and submitted to the
head of Department.

1. Student particulars
Names……………………………………..………. Reg. No……………………..……….
Programme………………………………………… Year of Study……………………….
2. (a) Module (s) to be deferred (indicate the codes and names of modules)
Modules (s) code Name of Module
……………………… ………………………………………
……………………… ………………………………………
……………………… ………………………………………
……………………… ………………………………………
……………………… ………………………………………
……………………… ………………………………………
……………………… ………………………………………
……………………… ………………………………………
……………………… ………………………………………
(b) Reason for deferring examination (tick whichever applicable)
Medical grounds ( ) Social problem ( ) Sponsorship Problem ( )
(c) A brief statement of particulars of the reasons (s) indicated above
………………………………………………………………………………………………
………………………………………………………………………………………………
3. Expected year / semester of sitting for deferred examination (s)…………………………..
4. Amount paid for deferring examination Tshs………………………………….Receipt
number………………………………………..(attach the original receipt).
5. This form has been submitted today…….…..(Day)…………...(Month)………….(Year)
Signed…………………………………………..
For official use
1. Recommendation of the Head of Department

………………………………………………………………………………………………………
………………………………………………………………………………………………………

Name: Signature

2. Recommendation of the Dean of Students

………………………………………………………………………………………………………
………………………………………………………………………………………………………

Name: Signature

3. Decision of the DR-ARC

Approved Not Approved


Name: Signature:
Coursework
Name of Student:
Course:
Course Course Name Assign Test Assign Test Total Lecturer’s
Code 1 1 2 2 signature

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