Request aberrant examination regulation (Law)

I am enrolled in the following programme:
Please indicate in which programme you are enrolled *

This situation applies to me:
Please check all requirements for a request for an Aberrant Examination Regulation.
NB: If none of the situations mentioned above are applicable to you and you still wish to apply for an aberrant examination regulation, you first will have to contact a study adviser of the International Office. *

I have a disability and I have discussed my situation with a study adviser of the International Office

Illness or personal circumstances have prevented me from taking examinations and I have contacted a study adviser of the International Office about this

My Board membership duties prevented me from participating in an examination and I have contacted a study adviser of the International Office about this

I have to successfully complete *one* more course in order to complete my programme and might be faced with unacceptable study delay

What is the nature of your illness or personal circumstances?
It is important that you have, prior to sending this form, contacted a study adviser of the International Office and that you have sufficient proof of the circumstances available and make this available to the Board of Examiners. *

Long-term illness or long-term personal circumstances.

Sudden illness or sudden special circumstances have prevented me from participating in both examination chances of a course.

I have been in contact with:
In order to process your request it is necessary that you have contacted a study adviser of the International Office beforehand. If you have not done so yet, it is better to contact one of the study advisers of the International Office before you send this request. *

I am:
Next to the posibilities mentioned above, membership of ad hoc committees and faculty study associations can also lead to the granting of an aberrant examination regulation. It is necessary in those cases though that the load of these duties is similar to the ones mentioned above. The regulation can be granted for a maximum of one course per semester and should be applied for prior to the semester in which the delay is anticipated. *

member of the Faculty Board and/or the Faculty Council

member of the University Council

member of the 'Vaste Commissie voor het Onderwijs' (Permanent Committee for Education)

member of the JFV-Board (maximum: 6 persons)

member of representing organs of public bodies

I have fulfilled the following requirements:

I have offered my list of courses to the Board of Examiners for approval and the approval has been granted.

I only have to successfully complete one more examination in order to complete my bachelor or master programme and therefore have successfully completed all other components of my programme, including my Master's thesis/Research Colloquium.

I need this course to graduate.

I have participated in both most recent written examinations for this course.

The result of the previous examination for this course shows I had prepared properly.

The next scheduled examination for this course is scheduled more than 3 months from now.

Explanation:
Please give a brief description of your circumstances. Explain to the Board of Examiners how your situation leeds to unreasonable study delay. For more information, please consult the Aberrant Examination Regulation. *

Document(s):
Please upload one or more documents that may serve as proof of your situation, such as a statement from your doctor/psychologist in which he or she confirms your circumstances. *

Course name:
Please indicate the name of course for which you are applying for an aberrant examination regulation *

Course code:
Please fill in the course code of the course you are requesting the aberrant examination regulation for *

First name(s):
Please fill in all names as mentioned in your passport *

Last name:
Please fill in your (full) last name as mentioned in your passport *

Student number: *

Additional documents:
Please upload any documents here that you think will support your request

By sending in my request using this form, I am aware that I will receive a response through email, to the email account I fill out below. No letter through regular mail will be sent! *

I hereby give permission to the Board of Examiners to communicate digitally (through email) with me

Email address: *

* = Input is required