FOR118_APPLICATION_FOR_extension_for_assessment_due_date_(1)_(1)_(1).doc

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Melbourne: 155-161 Boundary Road, North Melbourne VIC 3051 Adelaide: Level 2, 14 Grote Street, Adelaide SA 5000 Email: [email protected] / [email protected] Web: Phone: +61 3 9602 4110 FOR118 Version 1 Effective Date: 11/08/2014 CRICOS Provider Code 02934D RTO Number 121952 ABN 56 121 182 027 REQUEST FOR EXTENSION TO ASSESSMENT DUE DATE Student Name Student ID No Student Email Student Phone Number Unit name / code Assessment Task: EXTENSION DATE REQUESTED AND REASON Assessment Due Date Extension Date Requested * Reason (if due to illness, attach sickness certificate) IMPORTANT POINTS: PLEASE READ CAREFULLY Requests for an extension of time for submission of an assignment must be made before the due date of the assignment. Requests should be directed initially to the Trainer or the Student Welfare Officer who should initial this form and return to the student. This form should then be attached to the front of the assignment when submitted

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