WI Appeal Student
  1. This form is to be completed by a student who has already completed the informal process to resolve his/her concern informally, who still believes that he/she has received an unfair mark/exam decision from BITSPEC and who wishes to appeal that decision.
  2. Student Name(*)
    Please enter student name
  3. Student Phone Number(s):(*)
    Please enter a valid Phone number
  4. Student e-mail address:(*)
    Please enter a valid email address
  5. Program Name: (*)
    Please insert the program name
  6. Course Code:(*)
    Please enter the course Code
  7. Instructor member: (*)
    Please enter the instructor member name
  8. Date the discussion took place with the Instructor:(*)
    Please fill in the date
  9. Type of Appeal: (*)

    Please flag one of the checkboxes
  10. Date of submission(*)
    Please enter the date
  11. Upload file
    Invalid Input
  12. Please fill in the following letters(*)
    Please fill in the following letters
    Invalid Input
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