UNIVERSITY OF SOUTH AUSTRALIA Confidaitial
US Application for Deferred Assessment/Examination
on Medical/Compassionate Grounds
(Transnational Students Only)
For students who were prevented from attending the final examination In a course
‘or submitting the final course assessment item because of illness,
disability through accident or other special circumstances
Itis your responsibility to:
Complete and lodge Part 1 ~ Application of this form to your local Administration Office not more than five working days.
after the date of your assessment/examination
* Complete Section A in Part 2 - Medical Report and,
‘+ Present the form to your medicalidental practioner or Counsellor to complete Section B
+ Remind your practitioner/counsellor that your application will not be considered if they do not return the Medical Report,
IMPORTANT NOTES
‘+ Submission of this application does not automatically result in the granting of a deferred assessment/examination
‘+ _ Information supplied by your medicaVdental practioner or Counsellor will be treated as confidential
‘Students whose performance in the final examination or final assessment item was significantly affected by illness,