דפים - FRM_SCI11

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:

עברית

Surname:

עברית

ID number:

Gender:

Phone:

University email:

Degree:

Teaching program:

Additional teaching program:

Course number:

Teacher:

Semester:

Cornerstones:

YesNo

Course name:

Regular exam (mo’ed aleph):

I took the exam:

Yes
No

Regular exam grade:

(if taken)

I did not take the exam because:

Additional exam (mo’ed bet):

I took the exam:

Yes
No

Additional exam grade:

(if taken)

I did not take the exam because:

Reason for the application*:

Reserve duty
Birth
Other

*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

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