SECTION A: Student Details  
Student Number (ID)
Family Name
Given Name
Course Name
Primary Phone
SECTION B: Please state the nature of your appeal including dates, times and other people involved.

1.In brief describe your circumstances:

2. Describe realistic solutions and strategies for successful study in future:

3. What you would like the Appeal Committee to do:

Attach Supporting Documents:

Expected Resolution Date (Two weeks from the date of lodgement unless otherwise agreed by both parties)
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