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Application for a Make-Up Exam
Faculty of Mathematics and Natural Sciences
An application may be submitted no later than one week after the grades for the additional exam (mo’ed bet) have been posted.
N.B. To check entitlement to a make-up exam, please read section 7.4 in Teaching Policy and Procedures of the Faculty of Mathematics and Natural Sciences (see here)
First name:עבריתSurname:עברית
ID number:Gender:
Phone:University email:

Degree:
Teaching program:
Additional teaching program:
Additional teaching program:


Course number:Teacher:Semester:Cornerstones:

Course name:

Regular exam (mo’ed aleph):
בחר תאריך מתוך לוח השנה.
I took the exam:
Regular exam grade:(if taken)
I did not take the exam because:


Additional exam (mo’ed bet):
בחר תאריך מתוך לוח השנה.
I took the exam:
Additional exam grade:(if taken)
I did not take the exam because:


Reason for the application*:

*Please attach confirmation
No file selected
The file must be in PDF format
Reasons for the application:


Declaration:
I hereby declare and affirm that all the above information is correct
I have read and understood section 7.4 in Teaching Policy and Procedures of the Faculty of Mathematics and Natural Sciences

Section 7.4 in Teaching Policy and Procedures of the Faculty of Mathematics and Natural Sciences

A reply will be sent to the student’s university email address